MEDICARE: MS. SAYONI LAHIRI M.S, CGC

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
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1134507049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAYONI LAHIRI M.S, CGC

Provider Business Mailing Address
First Line	:	6363 FOREST PARK RD
Second Line	:	SUITE BLB 306
City	:	DALLAS
State	:	TX
Zip	:	75235-5479
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6363 FOREST PARK RD
Second Line	:	SUITE BLB 306
City	:	DALLAS
State	:	TX
Zip	:	75235-5479
Country	:	US
Telephone Number	:	408-332-1149
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2015
Last Update Date	:	05/12/2015

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