MEDICARE: REBEKAH FRANKIE LM

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
1	176B00000X	Midwife	301	CA

General Provider Information

NPI Number	:	1366737264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH FRANKIE LM

Provider Business Mailing Address
First Line	:	4056 ALTA MESA DR
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-3732
Country	:	US
Telephone Number	:	541-499-7864
Fax Number	:

Provider Business Practice Location Address
First Line	:	4056 ALTA MESA DR
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-3732
Country	:	US
Telephone Number	:	541-499-7864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	06/07/2024

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