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NPI Code Detail

MEDICARE: LAURI CHESTER BARR

MEDICARE: LAURI CHESTER BARR
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
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639712623
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURI CHESTER BARR
Provider Business Mailing Address
First Line : 2852 N NAVAJO DR STE D
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-4966
Country : US
Telephone Number : 928-759-7145
Fax Number :
Provider Business Practice Location Address
First Line : 2852 N NAVAJO DR STE D
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-4966
Country : US
Telephone Number : 928-759-7145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2019
Last Update Date : 10/22/2019

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Directions to “ LAURI CHESTER BARR ” Practice Location

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