Individual
LYNDA IKEOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16 LANCASTER RD, RANDOLPH, MA 02368-4942
(781) 300-1495
(781) 767-5939
Mailing address
16 LANCASTER RD, RANDOLPH, MA 02368-4942
(781) 300-1495
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271418
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN271418
MA
Other
Enumeration date
02/06/2024
Last updated
04/08/2025
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