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NPI Code Detail

MEDICARE: LYN BJORGO LPC, PHD

MEDICARE: LYN BJORGO LPC, PHD
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
1101Y00000XCounselor19190TX

General Provider Information

NPI Number : 1316057383
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYN BJORGO LPC, PHD
Provider Business Mailing Address
First Line : 1610 5TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2622
Country : US
Telephone Number : 806-765-2611
Fax Number : 806-687-5826
Provider Business Practice Location Address
First Line : 1610 5TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2622
Country : US
Telephone Number : 806-765-2611
Fax Number : 806-765-2630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/23/2024

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Directions to “ LYN BJORGO LPC, PHD” Practice Location

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