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Dr. Lynne Marie Debrakeleer
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Lynne Marie Debrakeleer |
| Gender: | F |
| Provider License Number If Given: | OS007447L |
NPI Information:
| NPI: | 1477548998 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 2/10/2015 |
Provider Business Mailing Address:
| Address: | 2017 CEDARS HILL RD Lansdale, PA 19446 |
| Phone Number: | 6105840584 |
| Fax Number: | 6105840584 |
Provider Business Practice Location Address:
| Address: | 123 W GERMANTOWN PIKE SUITE 2 East Norriton, PA 19401 |
| Phone Number: | 6102787456 |
| Fax Number: | 6102787457 |
Provider Taxonomy:
| Primary: | 207L00000X |
| Secondary (if any): | |
| State: | PA |
