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NPI Code Detail

MEDICARE: REBEKAH LANSFORD

MEDICARE:   REBEKAH  LANSFORD
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1689281305
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH LANSFORD
Provider Business Mailing Address
First Line : 523 MALBORO RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1612
Country : US
Telephone Number : 901-292-8044
Fax Number :
Provider Business Practice Location Address
First Line : 7007 STAGE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-4977
Country : US
Telephone Number : 501-574-3053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2020
Last Update Date : 04/18/2022

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Directions to “ REBEKAH LANSFORD ” Practice Location

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