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NPI Code Detail

MEDICARE: LAUREN A DUNLAP LCSW

MEDICARE: LAUREN A DUNLAP LCSW
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
11041C0700XClinical Social Worker3606KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13606OTHERKYLCSW

General Provider Information

NPI Number : 1417010679
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN A DUNLAP LCSW
Provider Business Mailing Address
First Line : 1712 STATE ROUTE 121 BYP N
Second Line : SUITE D
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Provider Business Practice Location Address
First Line : 1712 STATE ROUTE 121 BYP N
Second Line : SUITE D
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 11/26/2012

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Directions to “ LAUREN A DUNLAP LCSW” Practice Location

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