Lawrence Chavez JR.

NPI #1083110183 in Pueblo, Colorado

Provider Information

NPI Number: 1083110183
Entity Type: Individual
Name: Lawrence Chavez JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 5, 2018
Last Updated: Apr 5, 2018

Practice Location

Address: 2003 E 4TH ST
City: Pueblo
State: Colorado
ZIP Code: 81001-4150
Phone: (719) 544-6373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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