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NPI Code Detail

MEDICARE: MS. LAURA JANE LUTTON POLLARD LMFT

MEDICARE: MS. LAURA JANE LUTTON POLLARD LMFT
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
1101Y00000XCounselorCA
2104100000XSocial Worker
3106H00000XMarriage & Family TherapistMF7068ME

General Provider Information

NPI Number : 1831425057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA JANE LUTTON POLLARD LMFT
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 53 BAXTER BLVD STE 3
Second Line :
City : PORTLAND
State : ME
Zip : 04101-1827
Country : US
Telephone Number : 207-774-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2009
Last Update Date : 12/10/2024

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