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NPI Code Detail

MEDICARE: MRS. RACHEL ELIZABETH CONVERSE LSW

MEDICARE: MRS. RACHEL ELIZABETH CONVERSE LSW
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1801666763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL ELIZABETH CONVERSE LSW
Provider Business Mailing Address
First Line : 530 S MAIN ST
Second Line :
City : LIMA
State : OH
Zip : 45804-1500
Country : US
Telephone Number : 419-362-8435
Fax Number : 419-710-7203
Provider Business Practice Location Address
First Line : 530 S MAIN ST
Second Line :
City : LIMA
State : OH
Zip : 45804-1500
Country : US
Telephone Number : 419-362-8435
Fax Number : 419-710-7203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2024
Last Update Date : 06/17/2026

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