NPI

Lynette Rae Beadles

NPI 1285862979

Read from the NPPES registry on October 25, 2026.

Facts

Status
Active
Credential
OTR
Type
Individual
Enumeration date
2009-07-01
Last updated
2009-07-01

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Specialties

Licenses

License CA
89503

Location

Practice location
16981 Placer Hills Rd - B-7
City
Meadow Vista CA
Postal code
95722
Phone
(530) 878-8129
Fax
(530) 878-8195

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Meadow Vista, CA. 32 records in the public file.

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