Provider Demographics
NPI:1013776566
Name:GARNER, LYNDA WHELIHAN
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:WHELIHAN
Last Name:GARNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11404 HOLTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DEATSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36022-3397
Mailing Address - Country:US
Mailing Address - Phone:334-462-0005
Mailing Address - Fax:
Practice Address - Street 1:871 WINDING WOOD DR
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36093-1685
Practice Address - Country:US
Practice Address - Phone:334-462-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL-313591163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant