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NPI Code Detail

MEDICARE: LUCY BIBISI FNP-C

MEDICARE: LUCY BIBISI FNP-C
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
1363LF0000XFamily Nurse PractitionerRN219355GA

General Provider Information

NPI Number : 1356715726
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCY BIBISI FNP-C
Provider Business Mailing Address
First Line : 6509 GATEWAY RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5681
Country : US
Telephone Number : 706-214-2644
Fax Number :
Provider Business Practice Location Address
First Line : 6509 GATEWAY RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-5681
Country : US
Telephone Number : 706-214-2644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2015
Last Update Date : 06/11/2020

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