Individual
MRS. LAUREN BEVERLY IONTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 BOMBAY LN, ROSWELL, GA 30076-5825
(678) 587-8858
Mailing address
1504 BOMBAY LN, ROSWELL, GA 30076-5825
(678) 587-8858
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
GA
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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