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NPI Code Detail

MEDICARE: ELYSE LAMPHIER

MEDICARE:   ELYSE  LAMPHIER
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
1235Z00000XSpeech-Language Pathologist7101004570MI

General Provider Information

NPI Number : 1386003226
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELYSE LAMPHIER
Provider Business Mailing Address
First Line : 16341 REDWOOD CT
Second Line :
City : FENTON
State : MI
Zip : 48430-9178
Country : US
Telephone Number : 810-373-9507
Fax Number :
Provider Business Practice Location Address
First Line : 202 W SHIAWASSEE AVE
Second Line :
City : FENTON
State : MI
Zip : 48430-2093
Country : US
Telephone Number : 810-373-9507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2016
Last Update Date : 02/04/2022

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Directions to “ ELYSE LAMPHIER ” Practice Location

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