MEDICARE: IRYNA TYLYHUZ

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	343900000X	Non-emergency Medical Transport (VAN)	Z10-125	MA

General Provider Information

NPI Number	:	1811837891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRYNA TYLYHUZ

Provider Business Mailing Address
First Line	:	26 PEARL ST
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-2627
Country	:	US
Telephone Number	:	774-256-1358
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 PEARL ST
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-2627
Country	:	US
Telephone Number	:	774-256-1358
Fax Number	:

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

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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