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NPI Code Detail

MEDICARE: SAHARA-LYNN DIOR SKIPPER

MEDICARE: SAHARA-LYNN DIOR SKIPPER
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
1171M00000XCase Manager/Care CoordinatorR1567610724CA
2175T00000XPeer SpecialistMPSS-DMSEURCA
3101YA0400XAddiction (Substance Use Disorder) CounselorR1567610724CA

General Provider Information

NPI Number : 1760240006
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHARA-LYNN DIOR SKIPPER
Provider Business Mailing Address
First Line : PO BOX 6434
Second Line :
City : LANCASTER
State : CA
Zip : 93539-6434
Country : US
Telephone Number : 661-524-1925
Fax Number :
Provider Business Practice Location Address
First Line : 44505 90TH ST W
Second Line :
City : LANCASTER
State : CA
Zip : 93536-7705
Country : US
Telephone Number : 661-524-1925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2024
Last Update Date : 06/30/2025

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Directions to “ SAHARA-LYNN DIOR SKIPPER ” Practice Location

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