Individual
LYSTRA R DONEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-8880
Mailing address
1608 SE 3RD AVE, FORT LAUDERDALE, FL 33316-2564
(954) 728-8880
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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