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NPI Code Detail

MEDICARE: LYNN SPOMER LPC

MEDICARE: LYNN SPOMER LPC
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
1101YP2500XProfessional Counselor18885TX

General Provider Information

NPI Number : 1275574642
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN SPOMER LPC
Provider Business Mailing Address
First Line : 3031 IH 10 W
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-5159
Country : US
Telephone Number : 210-731-1300
Fax Number : 210-738-8025
Provider Business Practice Location Address
First Line : 3031 IH 10 W
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-5159
Country : US
Telephone Number : 210-731-1300
Fax Number : 210-738-8025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/08/2007

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Directions to “ LYNN SPOMER LPC” Practice Location

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