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Individual

MRS. LYNDA FRANKENA REAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
190 BOSTWICK RD, OXFORD, GA 30054-2834
(770) 784-1893
(770) 784-1893
Mailing address
190 BOSTWICK RD, OXFORD, GA 30054-2834
(770) 784-1893
(770) 784-1893

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
002437
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6403075
UNITED HEALTHCARE
GA
Enumeration date
01/05/2007
Last updated
07/09/2007
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