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NPI Code Detail

MEDICARE: LEBARON D LYNUM

MEDICARE:   LEBARON D LYNUM
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health CounselorS.2613425OH

General Provider Information

NPI Number : 1386302602
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEBARON D LYNUM
Provider Business Mailing Address
First Line : 2180 ROMIG RD
Second Line :
City : AKRON
State : OH
Zip : 44320-3879
Country : US
Telephone Number : 330-945-0330
Fax Number :
Provider Business Practice Location Address
First Line : 2180 ROMIG RD
Second Line :
City : AKRON
State : OH
Zip : 44320-3879
Country : US
Telephone Number : 330-945-0330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2021
Last Update Date : 01/26/2026

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Directions to “ LEBARON D LYNUM ” Practice Location

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