Individual
MS. ALLEN R LYBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 226-5788
(229) 226-2548
Mailing address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 226-5788
(229) 226-2548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN071414
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804152B
—
GA
Enumeration date
02/10/2006
Last updated
01/14/2014
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