MEDICARE: ELIZABETH HUNN LPN

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	164W00000X	Licensed Practical Nurse	26NE00431600	NJ

General Provider Information

NPI Number	:	1831381698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HUNN LPN

Provider Business Mailing Address
First Line	:	1546 REDONDO LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3926
Country	:	US
Telephone Number	:	800-950-6066
Fax Number	:

Provider Business Practice Location Address
First Line	:	1546 REDONDO LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3926
Country	:	US
Telephone Number	:	800-950-6066
Fax Number	:

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

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	08/15/2007

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