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NPI Code Detail

MEDICARE: CALEB LYMAN

MEDICARE:   CALEB  LYMAN
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
1183500000XPharmacist03237151OH

General Provider Information

NPI Number : 1609479534
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALEB LYMAN
Provider Business Mailing Address
First Line : 1980 LINCOLN WAY E
Second Line :
City : MASSILLON
State : OH
Zip : 44646-6965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1980 LINCOLN WAY E
Second Line :
City : MASSILLON
State : OH
Zip : 44646-6965
Country : US
Telephone Number : 330-833-4151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2020
Last Update Date : 11/22/2020

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Directions to “ CALEB LYMAN ” Practice Location

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