Waggoner, Lynda Lee

Waggoner, Lynda Lee is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30046-8444. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Waggoner, Lynda Lee can be contacted via phone (678) 209-2411.

Contact Information

Primary practice address
175 Gwinnett Dr Lawrenceville GA 30046-8444
Phone: (678) 209-2411
Fax: (678) 212-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN063518 Georgia

Profile Details

NPI number 1396061388
LBN Legal business name Waggoner, Lynda Lee
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated Jan 7th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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