Individual
LYNN DOYLE COGDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14427 ROAD 28, MADRA, CA 93638
(559) 673-3508
Mailing address
900 E RANKIN RD SPC 71, TULARE, CA 93274-9106
(559) 448-7794
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PT 28803
CA
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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