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Individual

LYNN FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
80 HUXFORD ST, HOMERVILLE, GA 31634
(912) 470-2273
(912) 470-2630
Mailing address
80 HUXFORD ST, HOMERVILLE, GA 31634-2356
(912) 470-2273
(912) 470-2630

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
002502
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
RN281395
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004224698
CT
01
P00057595
RAILROAD MEDICARE
CT
Enumeration date
02/07/2006
Last updated
11/18/2019
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