MEDICARE: MRS. DEBORAH LYNNE EIKMEIER LVN

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
1	164X00000X	Licensed Vocational Nurse	194242	CA

General Provider Information

NPI Number	:	1427473610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH LYNNE EIKMEIER LVN

Provider Business Mailing Address
First Line	:	24032 PASEO DEL SOL
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92587-9519
Country	:	US
Telephone Number	:	951-244-8274
Fax Number	:

Provider Business Practice Location Address
First Line	:	24032 PASEO DEL SOL
Second Line	:
City	:	MENIFEE
State	:	CA
Zip	:	92587-9519
Country	:	US
Telephone Number	:	951-244-8274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2014
Last Update Date	:	02/24/2014

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