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NPI Code Detail

MEDICARE: LAURY SANTOS

MEDICARE:   LAURY  SANTOS
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
1163WH0200XHome Health Registered NurseRN80207NV
2163WH0200XHome Health Registered Nurse80207NV

General Provider Information

NPI Number : 1730908369
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURY SANTOS
Provider Business Mailing Address
First Line : 5953 SMITH VALLEY RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1499
Country : US
Telephone Number : 702-292-1137
Fax Number :
Provider Business Practice Location Address
First Line : 5953 SMITH VALLEY RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1499
Country : US
Telephone Number : 702-292-1137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2024
Last Update Date : 10/09/2024

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Directions to “ LAURY SANTOS ” Practice Location

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