Lago Claro, LLC

NPI #1255818530 in Las Cruces, New Mexico

Provider Information

NPI Number: 1255818530
Entity Type: Organization
Organization Name: Lago Claro, LLC
Primary Specialty: Counselor
Enumeration Date: Jul 19, 2018
Last Updated: Jul 19, 2018

Practice Location

Address: 2410 S. ESPINA ST
City: Las Cruces
State: New Mexico
ZIP Code: 88001
Phone: (575) 642-0650

Authorized Official

Name: ANN M SKIRVIN
Title: BILLER/CREDENTIALER
Phone: (915) 345-5489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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