Individual
ELIZABETH LAHAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BSN, RN
Contact information
Practice address
2165 N DECATUR RD FL 2, DECATUR, GA 30033-5307
(404) 778-8504
Mailing address
200 N HIGHLAND AVE NE UNIT 303, ATLANTA, GA 30307-5624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
670896-1
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
RN9315157
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
274128
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
07/24/2014
Last updated
03/17/2018
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