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NPI Code Detail

MEDICARE: MS. TERESA G ALLEN LPN

MEDICARE: MS. TERESA G ALLEN LPN
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
1164W00000XLicensed Practical NursePNO80394LPA

General Provider Information

NPI Number : 1568687564
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESA G ALLEN LPN
Provider Business Mailing Address
First Line : 4254 LAWNSIDE RD
Second Line :
City : PHILA
State : PA
Zip : 19154-2804
Country : US
Telephone Number : 215-437-9746
Fax Number :
Provider Business Practice Location Address
First Line : 4254 LAWNSIDE RD
Second Line :
City : PHILA
State : PA
Zip : 19154-2804
Country : US
Telephone Number : 215-437-9746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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Directions to “ MS. TERESA G ALLEN LPN” Practice Location

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