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NPI Code Detail

MEDICARE: LYNNDA SHARISKY

MEDICARE: LYNNDA SHARISKY
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1821536566
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNNDA SHARISKY
Provider Business Mailing Address
First Line : 2359 KNOLLWOOD AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-1525
Country : US
Telephone Number : 216-260-1405
Fax Number :
Provider Business Practice Location Address
First Line : 2359 KNOLLWOOD AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-1525
Country : US
Telephone Number : 216-260-1405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2017
Last Update Date : 05/27/2025

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Directions to “ LYNNDA SHARISKY ” Practice Location

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