Individual
DIANE VERONICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1025 CROMERS BRIDGE ROAD, ROYSTON, GA 30662
(706) 245-6538
Mailing address
1025 CROMERS BRIDGE ROAD, ROYSTON, GA 30662
(706) 245-6538
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN061919
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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