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LYDIA GENNIE LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1689287641

Individual Registrant:
 LYDIA  GENNIE LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
1004 SHORELINE DR  BAINBRIDGE, GA 39817-8393 US
Tel: 850-363-8735  Fax: --

Contact information for business:
1004 SHORELINE DR  BAINBRIDGE, GA 39817-8393 US
Tel: 850-363-8735  Fax: --

Registration Information:
NPI: 1689287641
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
FLPN5214585

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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