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NPI Code Detail

MEDICARE: MRS. LYNN MARIE PURCILLY

MEDICARE: MRS. LYNN MARIE PURCILLY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1194505198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYNN MARIE PURCILLY
Provider Business Mailing Address
First Line : 505 E MAPLE RD
Second Line :
City : TROY
State : MI
Zip : 48083-2806
Country : US
Telephone Number : 248-918-5600
Fax Number : 248-530-3096
Provider Business Practice Location Address
First Line : 505 E MAPLE RD
Second Line :
City : TROY
State : MI
Zip : 48083-2806
Country : US
Telephone Number : 248-918-5600
Fax Number : 248-530-3096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2023
Last Update Date : 10/05/2023

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Directions to “ MRS. LYNN MARIE PURCILLY ” Practice Location

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