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NPI Code Detail

MEDICARE: LUCINDA ANN DAVID MSW

MEDICARE: LUCINDA ANN DAVID MSW
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
11041C0700XClinical Social Worker34003648IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265503452
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCINDA ANN DAVID MSW
Provider Business Mailing Address
First Line : PO BOX 320
Second Line :
City : NASHVILLE
State : IN
Zip : 47448-0320
Country : US
Telephone Number : 812-669-2080
Fax Number : 812-372-3692
Provider Business Practice Location Address
First Line : 2530 SANDCREST BLVD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-3047
Country : US
Telephone Number : 812-660-2080
Fax Number : 812-372-3692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2006
Last Update Date : 03/26/2015

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