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NPI Code Detail

MEDICARE: EDIE IRENE LINGLE

MEDICARE: EDIE IRENE LINGLE
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1578375275
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDIE IRENE LINGLE
Provider Business Mailing Address
First Line : 959 CORNWALL RD
Second Line :
City : LEBANON
State : PA
Zip : 17042-7015
Country : US
Telephone Number : 717-673-8589
Fax Number :
Provider Business Practice Location Address
First Line : 746 CUMBERLAND ST
Second Line :
City : LEBANON
State : PA
Zip : 17042-5236
Country : US
Telephone Number : 717-673-8589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/21/2025

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Directions to “ EDIE IRENE LINGLE ” Practice Location

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