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NPI Code Detail

MEDICARE: LUCIANA LONSDALE MHC-LP

MEDICARE: LUCIANA LONSDALE MHC-LP
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
1101YM0800XMental Health Counselor102382-01NY

General Provider Information

NPI Number : 1760097695
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIANA LONSDALE MHC-LP
Provider Business Mailing Address
First Line : 28 W 25TH ST FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10010-2736
Country : US
Telephone Number : 914-339-0875
Fax Number :
Provider Business Practice Location Address
First Line : 28 W 25TH ST FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10010-2736
Country : US
Telephone Number : 914-339-0875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 09/08/2020

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Directions to “ LUCIANA LONSDALE MHC-LP” Practice Location

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