Lynette Boudreau in Marietta - Chiropractor
Lynette Boudreau - NPI 1639285216
Lynette Boudreau is a Chiropractor in Marietta, Georgia. Lynette Boudreau practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lynette Boudreau is 1639285216. The last update date is 2007-07-08.
Lynette Boudreau's current location address is 4796 Canton Rd, Marietta, Georgia. You can contact this provider via phone number 7709269488 and fax number 7709247480. The mailing address for Lynette Boudreau is 4796 Canton Rd, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynette Boudreau |
|---|---|
| Address | 4796 Canton Rd, Marietta, Georgia |
| Phone Number | 7709269488 |
| Fax Number | 7709247480 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1639285216 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4796 Canton Rd |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300663250 |
| Phone Number | 7709269488 |
| Fax Number | 7709247480 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6159 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identifier code issued to Lynette Boudreau by the Centers for Medicare & Medicaid Services (CMS)?
The Lynette Boudreau has been assigned the NPI (National Provider Identifier) 1639285216. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Lynette Boudreau's physical address?
The Lynette Boudreau is physically located at 4796 Canton Rd, in the city of Marietta, GA, with the postal code 300663250.
What is the Lynette Boudreau's specialty and taxonomy code?
The Lynette Boudreau's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did Lynette Boudreau receive its 1639285216 assignment from the Centers for Medicare & Medicaid Services?
The Lynette Boudreau was assigned its 1639285216 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lynette Boudreau most recently updated or revised?
The information pertaining to Lynette Boudreau, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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