MEDICARE: LYDIE RONDIL HAGEN

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
1	363L00000X	Nurse Practitioner	RN201970	GA

General Provider Information

NPI Number	:	1831639038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYDIE RONDIL HAGEN

Provider Business Mailing Address
First Line	:	425 BROWN THRASHER CT
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-3674
Country	:	US
Telephone Number	:	770-329-1258
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 BROWN THRASHER CT
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-3674
Country	:	US
Telephone Number	:	770-329-1258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2017
Last Update Date	:	03/07/2017

Similar Medicare Providers

1518254135 — DR. CAROLINE CLERISME D.M.D.
Practice Location Address:

475 BROWN THRASHER CT
ALPHARETTA, GA
30009-3674

Practice Phone: 781-526-6597
Practice Fax:

1841660388 — HEALING SOLUTIONS COUNSELING AND CONSULTATION LLC
Practice Location Address:

11807 NORTHFALL LN STE 901
ALPHARETTA, GA
30009-7972

Practice Phone: 678-997-7895
Practice Fax:

1366587453 — DR. SUZETTE JEANNINE LAWLER SANKAR PSY.D., LPC
Practice Location Address:

11807 NORTHFALL LN STE 901
ALPHARETTA, GA
30009-7972

Practice Phone: 678-997-7895
Practice Fax:

1912388588 — NORTH FULTON PHARMACY LLC
Practice Location Address:

501 S MAIN ST STE 103
ALPHARETTA, GA
30009-1975

Practice Phone: 770-751-7575
Practice Fax: 770-751-1313

1992558647 — ARYANA FARIVAR FRENDT FNP-C
Practice Location Address:

670 N MAIN ST STE 115
ALPHARETTA, GA
30009-2711

Practice Phone: 770-475-0888
Practice Fax: 470-986-7091

1932874815 — PREMISE HEALTH OF GEORGIA MEDICAL PC
Practice Location Address:

2655 NORTHWINDS PKWY
ALPHARETTA, GA
30009-2280

Practice Phone: 678-690-7852
Practice Fax: 352-274-9148

Directions to “ LYDIE RONDIL HAGEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.