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NPI Code Detail

MEDICARE: LINDSAY BESANCON

MEDICARE: LINDSAY BESANCON
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
11041C0700XClinical Social WorkerS1200717OH

General Provider Information

NPI Number : 1588913826
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY BESANCON
Provider Business Mailing Address
First Line : 6412 WEILERSVILLE RD
Second Line :
City : SMITHVILLE
State : OH
Zip : 44677-9500
Country : US
Telephone Number : 330-466-8450
Fax Number :
Provider Business Practice Location Address
First Line : 2587 BACK ORRVILLE RD
Second Line :
City : WOOSTER
State : OH
Zip : 44691-9523
Country : US
Telephone Number : 330-264-9597
Fax Number : 330-264-0946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2012
Last Update Date : 12/15/2023

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Directions to “ LINDSAY BESANCON ” Practice Location

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