Individual provider · Type 1 NPI

Lynette Boudreau, DC

Chiropractor · Marietta, GA

NPI number 1639285216 Active

Practice location

4796 Canton Rd, Suite 400
Marietta, GA 30066-3250

Call (770) 926-9488 Map

Fax (770) 924-7480

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X006159 (GA)

Chiropractor: 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 interrelationship with other body systems.

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About NPI 1639285216

Lynette Boudreau, DC's National Provider Identifier is 1639285216, issued on Aug 23, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marietta, GA. The record was last updated on Jul 8, 2007.