Individual
LYNN RUGGIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26529 BARRANQUILLA AVE, PUNTA GORDA, FL 33983-5728
(207) 409-3461
Mailing address
26529 BARRANQUILLA AVE, PUNTA GORDA, FL 33983-5728
(207) 409-3461
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
412442
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074093461
—
ME
01
—
215840000
MAINE CARE
ME
Enumeration date
08/09/2009
Last updated
01/05/2023
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