Lyndon Abrogar, RN

Individual provider Active NPI Case Management Registered Nurse · Folsom, CA

NPI 1992220941 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1992220941
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Registered Nurse 163WC0400X
License
4229763 (NJ)
Practice address
1984 Horseshoe Glen Cir
Folsom, CA 95630-6293
Phone
(916) 983-6403
NPI assigned
Aug 11, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
693684CAMDRegistered Nurse
4229763NJMDCase Management Registered Nurse
4244FLMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 693684 CA
Wound Care Registered Nurse 163WW0000X 4244 FL
Case Management Registered Nurse 163WC0400X 4229763 NJ Yes

Addresses

Primary practice location

1984 Horseshoe Glen Cir
Folsom, CA 95630-6293

Mailing address

1984 Horseshoe Glen Cir
Folsom, CA 95630-6293
Phone (916) 983-6403

Other providers in Folsom, CA

All providers in Folsom, CA · Case Management Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.