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NPI Code Detail

MEDICARE: DAVID LINSSEN L.A.C.

MEDICARE: DAVID LINSSEN L.A.C.
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 CounselorLAC-12288AZ

General Provider Information

NPI Number : 1457481384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LINSSEN L.A.C.
Provider Business Mailing Address
First Line : 8859 S DATELAND DR
Second Line :
City : TEMPE
State : AZ
Zip : 85284-3027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7530 E ANGUS DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6410
Country : US
Telephone Number : 480-947-5739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ DAVID LINSSEN L.A.C.” Practice Location

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