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NPI Code Detail

MEDICARE: LYNN C GILBODY

MEDICARE: LYNN C GILBODY
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
1163W00000XRegistered NurseRN226186MA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437596947
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN C GILBODY
Provider Business Mailing Address
First Line : 580 QUARRY ST UNIT 4
Second Line :
City : QUINCY
State : MA
Zip : 02169-1583
Country : US
Telephone Number : 617-653-5257
Fax Number :
Provider Business Practice Location Address
First Line : 716 STEVENS AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2693
Country : US
Telephone Number : 207-221-4516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2013
Last Update Date : 09/27/2023

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Directions to “ LYNN C GILBODY ” Practice Location

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