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NPI Code Detail

MEDICARE: ZACHARY LEAN

MEDICARE:   ZACHARY  LEAN
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1538912910
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY LEAN
Provider Business Mailing Address
First Line : 2776 LEONE DR
Second Line :
City : NATIONAL CITY
State : MI
Zip : 48748-9316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2776 LEONE DR
Second Line :
City : NATIONAL CITY
State : MI
Zip : 48748-9316
Country : US
Telephone Number : 719-360-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 04/08/2024

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Directions to “ ZACHARY LEAN ” Practice Location

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