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NPI Code Detail

MEDICARE: LARITZA LAGUARDIA LOPEZ

MEDICARE: LARITZA LAGUARDIA LOPEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-497641FL

General Provider Information

NPI Number : 1538023189
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARITZA LAGUARDIA LOPEZ
Provider Business Mailing Address
First Line : 1411 LONGWOOD LOOP
Second Line :
City : TAMPA
State : FL
Zip : 33619-4817
Country : US
Telephone Number : 813-869-9609
Fax Number :
Provider Business Practice Location Address
First Line : 1411 LONGWOOD LOOP
Second Line :
City : TAMPA
State : FL
Zip : 33619-4817
Country : US
Telephone Number : 813-869-9609
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ LARITZA LAGUARDIA LOPEZ ” Practice Location

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