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NPI Code Detail

MEDICARE: LYNN DALCOLMA

MEDICARE:   LYNN  DALCOLMA
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
1235Z00000XSpeech-Language PathologistOH

General Provider Information

NPI Number : 1447527635
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN DALCOLMA
Provider Business Mailing Address
First Line : 4765 SUMMERSET DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-9203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7110 JORDAN DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-8738
Country : US
Telephone Number : 605-782-8525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2011
Last Update Date : 11/16/2011

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Directions to “ LYNN DALCOLMA ” Practice Location

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