LYNDA LEE WAGGONER ANP NPI 1396061388

NPI Information

  • NPI: 1396061388
  • Provider Name: LYNDA LEE WAGGONER, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 175 GWINNETT DR
    LAWRENCEVILLE, GA
    ZIP 30046
  • Phone: (678) 209-2411

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NPI Details

Lynda Lee Waggoner, ANP is an adult health nurse practitioner in Lawrenceville, GA. Lynda Lee Waggoner, ANP NPI is 1396061388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046-444
Phone: (678) 209-2411
Fax: (678) 212-6341

The enumeration date for this NPI number is 4/15/2010 and was last updated on 1/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRN063518GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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