Individual
MARIE LIGHTBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2356 LENORA CHURCH RD, SNELLVILLE, GA 30078-3233
(770) 972-0340
(770) 972-0379
Mailing address
2356 LENORA CHURCH ROAD, SNELLVILLE, GA 30078
(770) 972-0340
(770) 972-0379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
001826
GA
Other
Enumeration date
01/25/2008
Last updated
06/03/2011
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