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NPI Code Detail

MEDICARE: APRIL D LATHBURY L.C.S.W.

MEDICARE:   APRIL D LATHBURY  L.C.S.W.
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) CounselorQ10000857DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137761OTHERDECIGNA
20602528OTHERDEAETNA
3159139OTHERDEBLUE CROSS BLUE SHIELD DE
4174428OTHERDECOMPSYCH
5A066181OTHERDEVALUE OPTIONS

General Provider Information

NPI Number : 1063603199
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL D LATHBURY L.C.S.W.
Provider Business Mailing Address
First Line : 6 N RAILROAD AVE
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-1242
Country : US
Telephone Number : 302-856-1734
Fax Number : 302-856-9466
Provider Business Practice Location Address
First Line : 6 N RAILROAD AVE
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-1242
Country : US
Telephone Number : 302-856-1734
Fax Number : 302-856-9466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 08/05/2007

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Directions to “ APRIL D LATHBURY L.C.S.W.” Practice Location

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