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NPI Code Detail

MEDICARE: EMMA LOUNSBURY

MEDICARE: EMMA LOUNSBURY
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1548022460
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA LOUNSBURY
Provider Business Mailing Address
First Line : 6340 DAN BLOCKER AVE UNIT 103
Second Line :
City : HENDERSON
State : NV
Zip : 89011-2248
Country : US
Telephone Number : 702-906-7726
Fax Number :
Provider Business Practice Location Address
First Line : 4455 ALLEN LN STE 130
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2208
Country : US
Telephone Number : 702-906-7726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 01/25/2024

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Directions to “ EMMA LOUNSBURY ” Practice Location

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