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NPI Code Detail

MEDICARE: MRS. TERRI LYNN MELIN LPN

MEDICARE: MRS. TERRI LYNN MELIN LPN
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
1164W00000XLicensed Practical NurseL0434388MN

General Provider Information

NPI Number : 1083834659
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERRI LYNN MELIN LPN
Provider Business Mailing Address
First Line : 18777 MARYVILLE RD
Second Line :
City : BRAINERD
State : MN
Zip : 56401
Country : US
Telephone Number : 218-828-8681
Fax Number :
Provider Business Practice Location Address
First Line : 106 NORTH 4TH AVE
Second Line :
City : FERGUS FALLS
State : MN
Zip : 56537-1034
Country : US
Telephone Number : 218-998-3778
Fax Number : 218-998-3187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. TERRI LYNN MELIN LPN” Practice Location

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