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NPI Code Detail

MEDICARE: LUCY NEWBURN MA, LPC

MEDICARE: LUCY NEWBURN MA, LPC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1386430056
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCY NEWBURN MA, LPC
Provider Business Mailing Address
First Line : 3921 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2417
Country : US
Telephone Number : 312-533-0707
Fax Number : 312-277-0932
Provider Business Practice Location Address
First Line : 3921 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2417
Country : US
Telephone Number : 312-380-5344
Fax Number : 312-277-0932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2025
Last Update Date : 12/17/2025

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