MEDICARE: LAUVE'S PPECC LUBBOCK LLC

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
1	261QM3000X	Medically Fragile Infants and Children Day Care

General Provider Information

NPI Number	:	1982283644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUVE'S PPECC LUBBOCK LLC

Provider Business Mailing Address
First Line	:	275 W CAMPBELL RD STE 400
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-3581
Country	:	US
Telephone Number	:	469-341-7772
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 BRIERCROFT OFFICE PARK
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79412-3035
Country	:	US
Telephone Number	:	318-465-5494
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EFREM L COLMENERO
Credential	:
Telephone Number	:	469-341-7772

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	03/02/2026

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