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NPI Code Detail

MEDICARE: MRS. LYNETTE LEAH LEX MS, LCAT, CASAC

MEDICARE:  MRS. LYNETTE LEAH LEX  MS, LCAT, CASAC
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
1221700000XArt Therapist000254NY

General Provider Information

NPI Number : 1184821951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNETTE LEAH LEX MS, LCAT, CASAC
Provider Business Mailing Address
First Line : PO BOX 160
Second Line :
City : LAKE VIEW
State : NY
Zip : 14085-0160
Country : US
Telephone Number : 716-235-1900
Fax Number :
Provider Business Practice Location Address
First Line : 6213 OLD LAKE SHORE RD
Second Line :
City : LAKE VIEW
State : NY
Zip : 14085-9548
Country : US
Telephone Number : 716-235-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 02/06/2026

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Directions to “ MRS. LYNETTE LEAH LEX MS, LCAT, CASAC” Practice Location

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