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NPI Code Detail

MEDICARE: DR. MELODY LYND MELODY LYND

MEDICARE:  DR. MELODY  LYND  MELODY LYND
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
1208200000XPlastic Surgery PhysicianG86621CA

General Provider Information

NPI Number : 1730286626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELODY LYND MELODY LYND
Provider Business Mailing Address
First Line : 2125 VIZCAYA WAY
Second Line :
City : CAMPBELL
State : CA
Zip : 95008-5654
Country : US
Telephone Number : 408-893-4887
Fax Number : 408-356-7195
Provider Business Practice Location Address
First Line : 2450 SAMARITAN DR
Second Line : SUITE 2
City : SAN JOSE
State : CA
Zip : 95124-3912
Country : US
Telephone Number : 408-356-6719
Fax Number : 408-356-7195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MELODY LYND MELODY LYND” Practice Location

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