Rivera, Laura Lynn

Rivera, Laura Lynn is an sole proprietor health care provider with primary practice located at 200 Wilson Cir , Boulder City NV 89005. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Rivera, Laura Lynn can be contacted via phone (702) 294-7100.

Contact Information

Primary practice address
200 Wilson Cir Boulder City NV 89005
Phone: (702) 294-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1710222815
LBN Legal business name Rivera, Laura Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2012
Last updated Aug 31st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710222815 NPPES
California MEDICAID 1710222815

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