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NPI Code Detail

MEDICARE: CORRINE L. LAMERE BHS II

MEDICARE: CORRINE L. LAMERE BHS II
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1588796189
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORRINE L. LAMERE BHS II
Provider Business Mailing Address
First Line : 2101 GEER RD STE 120
Second Line :
City : TURLOCK
State : CA
Zip : 95382-2456
Country : US
Telephone Number : 209-664-8044
Fax Number : 209-664-8036
Provider Business Practice Location Address
First Line : 2101 GEER RD STE 120
Second Line :
City : TURLOCK
State : CA
Zip : 95382-2456
Country : US
Telephone Number : 209-664-8044
Fax Number : 209-664-8036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/08/2007

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