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NPI Code Detail

MEDICARE: MARY POLCE-LYNCH L.P.C.

MEDICARE: MARY POLCE-LYNCH L.P.C.
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
1101YP2500XProfessional Counselor0701001542VA

General Provider Information

NPI Number : 1033230578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY POLCE-LYNCH L.P.C.
Provider Business Mailing Address
First Line : 7130 GLEN FOREST DR
Second Line : SUITE 101
City : RICHMOND
State : VA
Zip : 23226-3754
Country : US
Telephone Number : 804-662-6060
Fax Number : 804-282-8678
Provider Business Practice Location Address
First Line : 7515 RIGHT FLANK RD
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-3818
Country : US
Telephone Number : 804-288-4084
Fax Number : 804-559-2046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 04/20/2018

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