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NPI Code Detail

MEDICARE: BLANCA ESTELA LEMUS

MEDICARE: BLANCA ESTELA LEMUS
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1770123556
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLANCA ESTELA LEMUS
Provider Business Mailing Address
First Line : 1566 N 8TH PL
Second Line :
City : PORT HUENEME
State : CA
Zip : 93041-2430
Country : US
Telephone Number : 805-889-4939
Fax Number :
Provider Business Practice Location Address
First Line : 1566 N 8TH PL
Second Line :
City : PORT HUENEME
State : CA
Zip : 93041-2430
Country : US
Telephone Number : 805-889-4939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2020
Last Update Date : 01/09/2020

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Directions to “ BLANCA ESTELA LEMUS ” 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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