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NPI Code Detail

MEDICARE: MR. LEWIS HENRY FINNEBURGH MSW

MEDICARE: MR. LEWIS HENRY FINNEBURGH MSW
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
11041C0700XClinical Social WorkerLCS3593CA

General Provider Information

NPI Number : 1881762912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEWIS HENRY FINNEBURGH MSW
Provider Business Mailing Address
First Line : 2213 BUCHANAN RD STE 203
Second Line :
City : ANTIOCH
State : CA
Zip : 94509-4265
Country : US
Telephone Number : 925-779-5810
Fax Number : 925-779-4963
Provider Business Practice Location Address
First Line : 2213 BUCHANAN RD
Second Line : 203
City : ANTIOCH
State : CA
Zip : 94509-4265
Country : US
Telephone Number : 925-779-5810
Fax Number : 925-779-4963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/08/2007

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