Provider Demographics
NPI:1427675289
Name:LINES, MARGARET MUNROE (LCAT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MUNROE
Last Name:LINES
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 8TH AVE APT GRD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1529
Mailing Address - Country:US
Mailing Address - Phone:850-320-5182
Mailing Address - Fax:
Practice Address - Street 1:148 26TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-1788
Practice Address - Country:US
Practice Address - Phone:929-244-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-28
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002391221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist