Provider Demographics
NPI:1053062869
Name:AUGER, DANA LYN (LPTA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LYN
Last Name:AUGER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9005 LONG LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-4402
Mailing Address - Country:US
Mailing Address - Phone:774-764-4099
Mailing Address - Fax:
Practice Address - Street 1:9005 LONG LAKE AVE
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-4402
Practice Address - Country:US
Practice Address - Phone:774-764-4099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31653208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation