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NPI Code Detail

MEDICARE: LYUDMILA BORISOVNA SCHULTZ ARNP

MEDICARE: LYUDMILA BORISOVNA SCHULTZ ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAPRN9317791FL
2363L00000XNurse PractitionerGAA-NP001728GA
3363L00000XNurse PractitionerAPRN9317791FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376910547
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYUDMILA BORISOVNA SCHULTZ ARNP
Provider Business Mailing Address
First Line : 1075 LAFAYETTE PKWY STE 100
Second Line :
City : LAGRANGE
State : GA
Zip : 30241-3507
Country : US
Telephone Number : 706-443-5273
Fax Number :
Provider Business Practice Location Address
First Line : 1075 LAFAYETTE PKWY STE 100
Second Line :
City : LAGRANGE
State : GA
Zip : 30241-3507
Country : US
Telephone Number : 706-443-5273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2015
Last Update Date : 10/12/2025

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Directions to “ LYUDMILA BORISOVNA SCHULTZ ARNP” Practice Location

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