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NPI Profile for LEGACY HEALTHCARE LLC in LEWES, DE.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Registered Nurse |
163W00000X |
| NPI Number | 1568218485 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/30/2024 | |
| Last updated | 04/30/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LEGACY HEALTHCARE LLC
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LEGACY HEALTHCARE LLC