Individual provider · Type 1 NPI

Lorena Trevizo

Student in an Organized Health Care Education/Training Program · Canutillo, TX

NPI number 1205208501 Active

Practice location

6845 Doniphan
Canutillo, TX 79835

Mailing address

6845 Doniphan Dr Ste B
Canutillo, TX 79835-5048

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205208501

Lorena Trevizo's National Provider Identifier is 1205208501, issued on Oct 26, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canutillo, TX. The record was last updated on Oct 26, 2015.