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NPI Code Detail

MEDICARE: LAURYN FIELDS

MEDICARE: LAURYN FIELDS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1386294114
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURYN FIELDS
Provider Business Mailing Address
First Line : 546 GOSHEN RD
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-1872
Country : US
Telephone Number : 609-463-8433
Fax Number :
Provider Business Practice Location Address
First Line : 407 GLENN AVE
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-6109
Country : US
Telephone Number : 609-218-8664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 09/13/2019

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Directions to “ LAURYN FIELDS ” Practice Location

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