MEDICARE: LYNN ANN BURNS LCSW

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
1	1041C0700X	Clinical Social Worker	LCS13537	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770691594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN ANN BURNS LCSW

Provider Business Mailing Address
First Line	:	216 N LINCOLN WAY
Second Line	:	SUITE 30
City	:	GALT
State	:	CA
Zip	:	95632-1715
Country	:	US
Telephone Number	:	916-995-6201
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 N LINCOLN WAY
Second Line	:	SUITE 30
City	:	GALT
State	:	CA
Zip	:	95632-1715
Country	:	US
Telephone Number	:	916-995-6201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	08/21/2009

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