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NPI Code Detail

MEDICARE: LYNDSEY BROOK

MEDICARE:   LYNDSEY  BROOK
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
1163WC0200XCritical Care Medicine Registered Nurse330649NC
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710760533
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSEY BROOK
Provider Business Mailing Address
First Line : 600 CARRAWAY XING STE 6303
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-7127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 CARRAWAY XING STE 6303
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-7127
Country : US
Telephone Number : 360-631-9370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2023
Last Update Date : 08/15/2023

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Directions to “ LYNDSEY BROOK ” Practice Location

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