MEDICARE: MRS. LORENA CIPRI O&M SPECIALIST

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
1	225CX0006X	Orientation and Mobility Training Rehabilitation Counselor	21733	CA

General Provider Information

NPI Number	:	1578288874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORENA CIPRI O&M SPECIALIST

Provider Business Mailing Address
First Line	:	811 E BRIDGER AVE APT 212
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5550
Country	:	US
Telephone Number	:	269-290-2085
Fax Number	:

Provider Business Practice Location Address
First Line	:	3016 W CHARLESTON BLVD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1963
Country	:	US
Telephone Number	:	702-486-5336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	10/10/2022

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