Basic Information
| Provider Information | |||||||||
| NPI: | 1295497543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARIZMENDI LAGUER | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | E | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 CHALETS DE SAN FERNANDO APT 1605 | ||||||||
| Address2: | |||||||||
| City: | CAROLINA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009878297 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7873140075 | ||||||||
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| Practice Location | |||||||||
| Address1: | CONSOLIDATE MALL ANEXO B-5, 202 AVE. GAUTIER BENITEZ | ||||||||
| Address2: | |||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877040705 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2021 | ||||||||
| LastUpdateDate: | 12/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | PR | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.