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NPI Code Detail

MEDICARE: MRS. CYNTHIA LU LEMELIN CADC-II-CA, RAS

MEDICARE:  MRS. CYNTHIA LU LEMELIN  CADC-II-CA, RAS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor360004BNCA

General Provider Information

NPI Number : 1760806962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA LU LEMELIN CADC-II-CA, RAS
Provider Business Mailing Address
First Line : 1100 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3524
Country : US
Telephone Number : 909-991-3039
Fax Number : 909-885-6758
Provider Business Practice Location Address
First Line : 1115 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3523
Country : US
Telephone Number : 909-888-6956
Fax Number : 909-885-6758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2014
Last Update Date : 01/02/2024

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Directions to “ MRS. CYNTHIA LU LEMELIN CADC-II-CA, RAS” Practice Location

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