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NPI Code Detail

MEDICARE: SHERNELL LORDE

MEDICARE:   SHERNELL  LORDE
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 Coordinator

General Provider Information

NPI Number : 1801267554
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERNELL LORDE
Provider Business Mailing Address
First Line : 1422 E 99TH ST
Second Line : 1ST FLOOR
City : BROOKLYN
State : NY
Zip : 11236-5523
Country : US
Telephone Number : 718-909-6540
Fax Number :
Provider Business Practice Location Address
First Line : 1422 E 99TH ST
Second Line : 1ST FLOOR
City : BROOKLYN
State : NY
Zip : 11236-5523
Country : US
Telephone Number : 718-909-6540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2015
Last Update Date : 10/07/2015

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Directions to “ SHERNELL LORDE ” Practice Location

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