Individual
LYNNE VICTORIA ABRUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3813
(706) 721-1459
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
35122076
OH
207ZH0000X
Hematology (Pathology) Physician
91306
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35122076
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
91306
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.122076
OHIO MEDICAL LICENSE
OH
01
—
91306
GEORGIA MEDICAL LICENSE
GA
Enumeration date
08/18/2006
Last updated
10/25/2023
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