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NPI Code Detail

MEDICARE: LAURY MOTA-RODRIGUEZ

MEDICARE: LAURY MOTA-RODRIGUEZ
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 : 1982300273
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURY MOTA-RODRIGUEZ
Provider Business Mailing Address
First Line : 4105 COPE ST APT 3
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-5741
Country : US
Telephone Number : 646-785-9032
Fax Number :
Provider Business Practice Location Address
First Line : 4600 DEBARR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3103
Country : US
Telephone Number : 907-891-0872
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2023
Last Update Date : 02/07/2023

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Directions to “ LAURY MOTA-RODRIGUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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