Individual
DR. LYNNETTE B BARDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 ANDREWS AVENUE, FORT RUCKER, AL 36362
(334) 255-7387
Mailing address
317 GATEWAY DR, ENTERPRISE, AL 36330-7811
(334) 347-3906
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
826A
AL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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