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NPI Code Detail

MEDICARE: LISA MARIE WEBB

MEDICARE: LISA MARIE WEBB
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
1235Z00000XSpeech-Language PathologistSL003843LPA

General Provider Information

NPI Number : 1427182575
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE WEBB
Provider Business Mailing Address
First Line : 1022 MOOSIC ST
Second Line :
City : SCRANTON
State : PA
Zip : 18505-2165
Country : US
Telephone Number : 570-343-2182
Fax Number :
Provider Business Practice Location Address
First Line : 23 ELLEN MEMORIAL LN
Second Line :
City : HONESDALE
State : PA
Zip : 18431-4096
Country : US
Telephone Number : 570-253-5690
Fax Number : 570-253-4512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ LISA MARIE WEBB ” Practice Location

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