Individual
LYNDSEY PEQUIGNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
503 CHATHAM SQ, WINCHESTER, VA 22601-5746
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
62669
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62669
DEPARTMENT OF HEALTH AND HUMAN RESOURCES
—
Enumeration date
09/24/2018
Last updated
09/24/2018
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