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LYNETTE BOUDREAU D.C.
NPI 1639285216
Chiropractor in Marietta, GA

Active since August 23, 2006
4796 CANTON RD, SUITE 400, MARIETTA, GA 30066(770) 926-9488(770) 924-7480 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lynette Boudreau D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNETTE BOUDREAU D.C. (NPI 1639285216) is an individual chiropractor in Marietta, Georgia, licensed in Georgia (006159) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1639285216
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameLYNETTE BOUDREAUCredential: D.C.
Location Address4796 CANTON RD, SUITE 400Marietta, GA 30066-3250
Mailing Address4796 Canton Rd, Suite 400Marietta, GA 30066-3250 · (770) 926-9488 · Fax (770) 924-7480
Phone(770) 926-9488
Fax(770) 924-7480
Sole ProprietorYes
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639285216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · 006159
Definition
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.
4796 CANTON RD, Marietta, GA 30066
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Other Identifiers 2

Medicare ID-Type Unspecified35ZCFWGA
Medicare UPIN479259GA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS W JOHNSON D.C.
Chiropractor
4796 CANTON RD, SUITE 400
MARIETTA, GA 30066
Cobb County (770) 926-9488
HORSETOOTH PC D/B/A SOUTH CHEROKEE CHIROPRACTIC
Chiropractor
4796 CANTON RD
MARIETTA, GA 30066
Cobb County (770) 926-9488
SOUTH CHEROKEE CHIROPRACTIC
Chiropractor
4796 CANTON RD, SUITE 400
MARIETTA, GA 30066
Cobb County (770) 926-9488
JANE HORTON JOHNSON LMT
Massage Therapist
4796 CANTON RD, SUITE 400
MARIETTA, GA 30066
Cobb County (770) 419-4932
SOUTH CHEROKEE CHIROPRACTIC
Chiropractor
4796 CANTON RD, SUITE 400
MARIETTA, GA 30066
Cobb County (770) 926-9488
EILEEN DILLON KEETON D.C.
Chiropractor
4796 CANTON RD, SUITE 400
MARIETTA, GA 30066
Cobb County (770) 926-9488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynette Boudreau's NPI number?

The NPI number for Lynette Boudreau is 1639285216. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Lynette Boudreau located?

Lynette Boudreau practices at 4796 Canton Rd Suite 400, Marietta, GA 30066. The listed phone number is (770) 926-9488.

What is Lynette Boudreau's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lynette Boudreau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.