Individual
LAURYN VACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
H13972224
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41305264
INDEPENDENT PROVIDER
NE
Enumeration date
12/31/2024
Last updated
12/31/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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