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NPI Code Detail

MEDICARE: LUCIA BORDIUK MED

MEDICARE:   LUCIA  BORDIUK  MED
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
1101YM0800XMental Health Counselor6854TN

General Provider Information

NPI Number : 1619773447
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIA BORDIUK MED
Provider Business Mailing Address
First Line : 209 GOTHIC CT STE 108
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2812
Country : US
Telephone Number : 615-492-1132
Fax Number :
Provider Business Practice Location Address
First Line : 209 GOTHIC CT STE 108
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2812
Country : US
Telephone Number : 615-492-1132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2025
Last Update Date : 02/21/2025

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Directions to “ LUCIA BORDIUK MED” Practice Location

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