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NPI Code Detail

MEDICARE: MS. LISA J. MARENCIN M.S.

MEDICARE: MS. LISA J. MARENCIN M.S.
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
1237600000XAudiologist-Hearing Aid Fitter020000050DE

General Provider Information

NPI Number : 1447426374
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA J. MARENCIN M.S.
Provider Business Mailing Address
First Line : 104 SLEEPY HOLLOW DR
Second Line : SUITE 202
City : MIDDLETOWN
State : DE
Zip : 19709-5842
Country : US
Telephone Number : 302-376-3500
Fax Number : 302-376-5758
Provider Business Practice Location Address
First Line : 104 SLEEPY HOLLOW DR
Second Line : SUITE 202
City : MIDDLETOWN
State : DE
Zip : 19709-5842
Country : US
Telephone Number : 302-376-3500
Fax Number : 302-376-5758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 11/03/2017

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