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NPI Code Detail

MEDICARE: ALICE REGINA LYNCH

MEDICARE: ALICE REGINA LYNCH
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1780445130
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE REGINA LYNCH
Provider Business Mailing Address
First Line : 15 FARVIEW TER
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2761
Country : US
Telephone Number : 551-579-4441
Fax Number :
Provider Business Practice Location Address
First Line : 15 FARVIEW TER
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2761
Country : US
Telephone Number : 551-579-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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Directions to “ ALICE REGINA LYNCH ” Practice Location

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