Individual
LYNDSEY ANN RODABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 NORTHLAKE DR, SUWANEE, GA 30024-2942
(770) 682-2364
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/25/2020
Last updated
03/23/2021
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