Most Relevant Information
Provider Data
| NPI Number: | 1003223181 |
| Provider Name: | DEBBIE LYNN BACON M.ED. |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2014 |
| Last Updated: | 07/21/2014 |
Provider Practice Location
2291 LAUREL RIDGE RD
NARVON
PA
175559736
Practice Location Phone/Fax
| Phone: | 7173447854 |
| Fax: | 7174455501 |
Provider Mailing Location
2291 LAUREL RIDGE RD
NARVON
PA
175559736
Provider Mailing Phone/Fax
| Phone: | 7173447854 |
| Fax: | 7174455501 |