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NPI Code Detail

MEDICARE: LYNDSEY CASTO

MEDICARE: LYNDSEY CASTO
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
1106S00000XBehavior TechnicianVA

General Provider Information

NPI Number : 1669235164
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSEY CASTO
Provider Business Mailing Address
First Line : 618 VILLAGE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4250
Country : US
Telephone Number : 757-678-8191
Fax Number : 757-222-1903
Provider Business Practice Location Address
First Line : 618 VILLAGE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4250
Country : US
Telephone Number : 757-678-8191
Fax Number : 757-222-1903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 02/06/2024

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Directions to “ LYNDSEY CASTO ” Practice Location

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