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NPI Code Detail

MEDICARE: MS. TAMMY LYGREN

MEDICARE:  MS. TAMMY  LYGREN
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1831475094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMMY LYGREN
Provider Business Mailing Address
First Line : 16 SCONTICUT NECK RD
Second Line : #206
City : FAIRHAVEN
State : MA
Zip : 02719-1914
Country : US
Telephone Number : 508-444-6530
Fax Number : 774-328-8382
Provider Business Practice Location Address
First Line : 134 MAIN ST
Second Line :
City : BUZZARDS BAY
State : MA
Zip : 02532-3221
Country : US
Telephone Number : 508-444-6530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2011
Last Update Date : 11/01/2011

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Directions to “ MS. TAMMY LYGREN ” Practice Location

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