Lynn Kambarn Matava, AADP
Individual provider Active NPI Health Educator · Hebron, MD
NPI 1194095620 · NPPES record last updated Dec 30, 2011
Key facts
- NPI
- 1194095620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 7332 Topaz CT
Hebron, MD 21830-2114 - Phone
- (443) 783-2395
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes | ||
| Naturopath | 175F00000X |
Addresses
Primary practice location
7332 Topaz CT
Hebron, MD 21830-2114
Mailing address
PO Box 405
Hebron, MD 21830-0405
Phone (443) 783-2395
Other providers in Hebron, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.