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NPI Code Detail

MEDICARE: LAZARA YANET ORTIZ

MEDICARE: LAZARA YANET ORTIZ
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1679228050
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAZARA YANET ORTIZ
Provider Business Mailing Address
First Line : 4353 SILVER BAY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6148
Country : US
Telephone Number : 702-337-5944
Fax Number :
Provider Business Practice Location Address
First Line : 4353 SILVER BAY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6148
Country : US
Telephone Number : 702-337-5944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2022
Last Update Date : 02/15/2022

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Directions to “ LAZARA YANET ORTIZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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