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NPI Code Detail

MEDICARE: LORNA LIN

MEDICARE: LORNA LIN
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
1208000000XPediatrics Physician32240701NY

General Provider Information

NPI Number : 1750917787
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORNA LIN
Provider Business Mailing Address
First Line : 1000 MONTAUK HWY
Second Line :
City : WEST ISLIP
State : NY
Zip : 11795-4927
Country : US
Telephone Number : 631-376-4163
Fax Number : 631-376-3420
Provider Business Practice Location Address
First Line : 2601 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-7745
Country : US
Telephone Number : 844-692-4692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2020
Last Update Date : 05/06/2026

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Directions to “ LORNA LIN ” Practice Location

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