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NPI Code Detail

MEDICARE: DR. LAURIE A HERRERA M.D.

MEDICARE: DR. LAURIE A HERRERA M.D.
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
1207P00000XEmergency Medicine Physician31586AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992705818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURIE A HERRERA M.D.
Provider Business Mailing Address
First Line : 2202 N FORBES BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-1412
Country : US
Telephone Number : 520-872-7130
Fax Number :
Provider Business Practice Location Address
First Line : 350 N WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2602
Country : US
Telephone Number : 520-872-7130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 07/08/2007

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