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NPI Code Detail

MEDICARE: CHLOE LANCRY

MEDICARE: CHLOE LANCRY
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1912415027
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHLOE LANCRY
Provider Business Mailing Address
First Line : 2181 NE 67TH ST APT 625
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-1130
Country : US
Telephone Number : 954-822-6433
Fax Number :
Provider Business Practice Location Address
First Line : 2011 NE 60TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-2127
Country : US
Telephone Number : 954-614-1398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 01/11/2018

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Directions to “ CHLOE LANCRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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