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NPI Code Detail

MEDICARE: MS. LYNNE M. DESCHENES LIC. AC.

MEDICARE: MS. LYNNE M. DESCHENES LIC. AC.
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
1171100000XAcupuncturist203405MA

General Provider Information

NPI Number : 1962520155
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNNE M. DESCHENES LIC. AC.
Provider Business Mailing Address
First Line : 1 CLEVELAND ST
Second Line :
City : AMESBURY
State : MA
Zip : 01913-3712
Country : US
Telephone Number : 978-388-9277
Fax Number :
Provider Business Practice Location Address
First Line : 11 MACY ST
Second Line :
City : AMESBURY
State : MA
Zip : 01913-3706
Country : US
Telephone Number : 978-407-0204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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