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NPI Code Detail

MEDICARE: DR. DEBORAH LYNN MCCOY M.D.

MEDICARE: DR. DEBORAH LYNN MCCOY M.D.
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
1207W00000XOphthalmology Physician10684NH
2207W00000XOphthalmology Physician204565MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336144419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH LYNN MCCOY M.D.
Provider Business Mailing Address
First Line : 21 WORTHEN RD
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-4835
Country : US
Telephone Number : 781-862-1620
Fax Number : 781-863-9416
Provider Business Practice Location Address
First Line : 21 WORTHEN RD
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-4835
Country : US
Telephone Number : 781-862-1620
Fax Number : 781-863-9416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 06/23/2008

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