Provider Demographics
NPI:1548703929
Name:ABAGI, LYNDA DUOSEKE (RN)
Entity type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:DUOSEKE
Last Name:ABAGI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 EAGLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-1461
Mailing Address - Country:US
Mailing Address - Phone:651-283-9564
Mailing Address - Fax:
Practice Address - Street 1:661 EAGLE RIDGE RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1461
Practice Address - Country:US
Practice Address - Phone:651-283-9564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN813413808313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility