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NPI Code Detail

MEDICARE: MRS. LISA MARIE TORGERSON

MEDICARE: MRS. LISA MARIE TORGERSON
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
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1992005128
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA MARIE TORGERSON
Provider Business Mailing Address
First Line : 4916 HOSTETLER AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-5228
Country : US
Telephone Number : 702-486-6429
Fax Number : 702-486-6448
Provider Business Practice Location Address
First Line : 3175 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-3308
Country : US
Telephone Number : 702-486-6429
Fax Number : 702-486-6448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2010
Last Update Date : 10/21/2010

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Directions to “ MRS. LISA MARIE TORGERSON ” Practice Location

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