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NPI Code Detail

MEDICARE: LAUREN PILAR MCCLUNG CDCA PRELIMINARY

MEDICARE: LAUREN PILAR MCCLUNG CDCA PRELIMINARY
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCAPRE.195385OH

General Provider Information

NPI Number : 1639004260
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN PILAR MCCLUNG CDCA PRELIMINARY
Provider Business Mailing Address
First Line : 10236 ALGER TRL
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-2904
Country : US
Telephone Number : 234-400-9190
Fax Number :
Provider Business Practice Location Address
First Line : 155 N WATER ST
Second Line :
City : KENT
State : OH
Zip : 44240-2418
Country : US
Telephone Number : 330-678-3006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ LAUREN PILAR MCCLUNG CDCA PRELIMINARY” Practice Location

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