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NPI Code Detail

MEDICARE: LINDSEY ECKENRODE

MEDICARE: LINDSEY ECKENRODE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2174H00000XHealth Educator
3183500000XPharmacistRP439294PA

General Provider Information

NPI Number : 1013439660
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY ECKENRODE
Provider Business Mailing Address
First Line : 3720 NEW GERMANY RD
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-1862
Country : US
Telephone Number : 814-472-9390
Fax Number :
Provider Business Practice Location Address
First Line : 3720 NEW GERMANY RD
Second Line :
City : EBENSBURG
State : PA
Zip : 15931-1862
Country : US
Telephone Number : 814-472-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2017
Last Update Date : 07/21/2022

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Directions to “ LINDSEY ECKENRODE ” Practice Location

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