Provider Demographics
NPI:1295497543
Name:ARIZMENDI LAGUER, LYNN E
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:E
Last Name:ARIZMENDI LAGUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CHALETS DE SAN FERNANDO APT 1605
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8297
Mailing Address - Country:US
Mailing Address - Phone:787-314-0075
Mailing Address - Fax:
Practice Address - Street 1:CONSOLIDATE MALL ANEXO B-5, 202 AVE. GAUTIER BENITEZ
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-704-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical