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NPI Code Detail

MEDICARE: LOIS SUH LCSW-R

MEDICARE: LOIS SUH LCSW-R
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
1171100000XAcupuncturist002593NY
2225700000XMassage Therapist020003NY
31041C0700XClinical Social Worker071174NY

General Provider Information

NPI Number : 1700941481
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOIS SUH LCSW-R
Provider Business Mailing Address
First Line : 201 9TH ST
Second Line :
City : MARINA
State : CA
Zip : 93933-6039
Country : US
Telephone Number : 831-884-1000
Fax Number :
Provider Business Practice Location Address
First Line : 201 9TH ST
Second Line :
City : MARINA
State : CA
Zip : 93933-6039
Country : US
Telephone Number : 831-884-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2006
Last Update Date : 11/03/2023

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Directions to “ LOIS SUH LCSW-R” Practice Location

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