L Jensen And Associates Inc | |
9418 W Lake Mead Blvd Ste 308 Las Vegas NV 89134-8312 | |
(702) 723-7200 | |
Not Available |
Full Name | L Jensen And Associates Inc |
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Speciality | Clinic/Center |
Location | 9418 W Lake Mead Blvd Ste 308, Las Vegas, Nevada |
Authorized Official Name and Position | Laura Jensen (PROVIDER) |
Authorized Official Contact | 7027237200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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L Jensen And Associates Inc 9213 Las Manaitas Ave Unit 401 Las Vegas NV 89144-6631 Ph: (702) 723-7200 | L Jensen And Associates Inc 9418 W Lake Mead Blvd Ste 308 Las Vegas NV 89134-8312 Ph: (702) 723-7200 |
NPI Number | 1528695897 |
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Provider Enumeration Date | 03/25/2020 |
Last Update Date | 03/25/2020 |
Certification Date | 03/25/2020 |
Medicare PECOS PAC ID | 1658795059 |
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Medicare Enrollment ID | O20200717001941 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528695897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Laura Jensen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063637486 PECOS PAC ID: 2567713225 Enrollment ID: I20180920000106 |
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