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NPI Code Detail

MEDICARE: LAILANI BRUFF

MEDICARE: LAILANI BRUFF
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
1101YM0800XMental Health Counselor0018950CO

General Provider Information

NPI Number : 1811711732
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAILANI BRUFF
Provider Business Mailing Address
First Line : 536 E GARDEN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15227-3110
Country : US
Telephone Number : 720-635-5520
Fax Number :
Provider Business Practice Location Address
First Line : 207 W HICKORY ST STE 203
Second Line :
City : DENTON
State : TX
Zip : 76201-4149
Country : US
Telephone Number : 940-828-1003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2024
Last Update Date : 02/17/2025

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Directions to “ LAILANI BRUFF ” Practice Location

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