Laura Xilena Idarraga

NPI #1982292462 in Lutz, Florida

Provider Information

NPI Number: 1982292462
Entity Type: Individual
Name: Laura Xilena Idarraga
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Jan 9, 2021
Last Updated: Jan 9, 2021

Practice Location

Address: 207 DENNISON RD
City: Lutz
State: Florida
ZIP Code: 33548-4576
Phone: (813) 510-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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