Individual
LISA MARIE PRANAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 367-3014
Mailing address
1090 N VILLAGE DR, DECATUR, GA 30032-2455
(404) 310-6973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN196013
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN196013
GA
Other
Enumeration date
03/24/2022
Last updated
06/14/2024
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