Provider Demographics
NPI:1992220941
Name:ABROGAR, LYNDON (RN)
Entity type:Individual
Prefix:
First Name:LYNDON
Middle Name:
Last Name:ABROGAR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1984 HORSESHOE GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6293
Mailing Address - Country:US
Mailing Address - Phone:916-983-6403
Mailing Address - Fax:
Practice Address - Street 1:1984 HORSESHOE GLEN CIR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6293
Practice Address - Country:US
Practice Address - Phone:916-983-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA693684163W00000X
FL4244163WW0000X
NJ4229763163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse
No163WW0000XNursing Service ProvidersRegistered NurseWound Care