LISSA LORRAINE LYNCH SUDRC NPI 1053813949

NPI Information

NPI: 1053813949
Provider Name: LISSA LORRAINE LYNCH, SUDRC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
484 PLEASANT VALLEY RD. #4
ELDORADO, CA
ZIP 95619
Phone: (530) 344-7633
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Lissa Lorraine Lynch, SUDRC is an addiction (substance use disorder) counselor in Eldorado, CA. Lissa Lorraine Lynch, SUDRC NPI is 1053813949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

484 PLEASANT VALLEY RD. #4
ELDORADO, CA
ZIP 95619-561
Phone: (530) 344-7633
Fax: (530) 497-5202

The enumeration date for this NPI number is 3/6/2018 and was last updated on 11/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1323840918	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	10845	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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