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NPI Code Detail

MEDICARE: TAULEECE TODD-LEFEAR

MEDICARE: TAULEECE TODD-LEFEAR
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1952601973
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAULEECE TODD-LEFEAR
Provider Business Mailing Address
First Line : 7055 E LAKE MEAD BLVD
Second Line : APT 1006
City : LAS VEGAS
State : NV
Zip : 89156-1108
Country : US
Telephone Number : 702-287-8634
Fax Number :
Provider Business Practice Location Address
First Line : 7055 E LAKE MEAD BLVD
Second Line : APT 1006
City : LAS VEGAS
State : NV
Zip : 89156-1108
Country : US
Telephone Number : 702-287-8634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 01/09/2017

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Directions to “ TAULEECE TODD-LEFEAR ” Practice Location

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