Individual
LANALEE A SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(404) 365-0966
Mailing address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5579
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
080226
GA
Other
Enumeration date
02/23/2006
Last updated
09/30/2024
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