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NPI Code Detail

MEDICARE: DIANNA LAURELYN QUIJANO

MEDICARE: DIANNA LAURELYN QUIJANO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMT236204PA

General Provider Information

NPI Number : 1427994805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA LAURELYN QUIJANO
Provider Business Mailing Address
First Line : 2545 SCHOENERSVILLE RD FL 5
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-7300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2545 SCHOENERSVILLE RD FL 5
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-7300
Country : US
Telephone Number : 610-402-7712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ DIANNA LAURELYN QUIJANO ” Practice Location

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