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NPI Code Detail

MEDICARE: MS. LAURA LYN GARZA

MEDICARE: MS. LAURA LYN GARZA
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 Counselor

General Provider Information

NPI Number : 1952644536
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA LYN GARZA
Provider Business Mailing Address
First Line : 8600 W CHARLESTON BLVD
Second Line : #2098
City : LAS VEGAS
State : NV
Zip : 89117-5407
Country : US
Telephone Number : 702-743-4070
Fax Number :
Provider Business Practice Location Address
First Line : 4180 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5074
Country : US
Telephone Number : 702-486-6987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2013
Last Update Date : 04/01/2013

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Directions to “ MS. LAURA LYN GARZA ” Practice Location

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