Individual
LAVERN A MAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30046-4325
(678) 209-2411
Mailing address
900 LEGACY PARK DR, 1521, LAWRENCEVILLE, GA 30043
(954) 864-3867
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11032593
FL
Other
Enumeration date
10/02/2017
Last updated
01/20/2025
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