MEDICARE: LAURA BJORK

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	374K00000X	Religious Nonmedical Practitioner		NV
2	172V00000X	Community Health Worker	CHW1-6215	NV

General Provider Information

NPI Number	:	1629906987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BJORK

Provider Business Mailing Address
First Line	:	8230 UNICORN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-5260
Country	:	US
Telephone Number	:	702-245-4753
Fax Number	:	702-245-4753

Provider Business Practice Location Address
First Line	:	35 W OWENS AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6865
Country	:	US
Telephone Number	:	702-245-4753
Fax Number	:	702-245-4753

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

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/12/2026

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Directions to “ LAURA BJORK ” Practice Location

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