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NPI Code Detail

MEDICARE: LINDSAY RACHEL BRAN

MEDICARE: LINDSAY RACHEL BRAN
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDICAL

General Provider Information

NPI Number : 1962928887
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY RACHEL BRAN
Provider Business Mailing Address
First Line : 170 S OAKLAND AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2561
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 170 S OAKLAND AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2561
Country : US
Telephone Number : 626-823-6151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 07/06/2023

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Directions to “ LINDSAY RACHEL BRAN ” Practice Location

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