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Individual

LAUREN LARISCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1500 LANGFORD DR, WATKINSVILLE, GA 30677-7298
(706) 548-1216
Mailing address
1500 LANGFORD DR BLDG 100, WATKINSVILLE, GA 30677-7298
(706) 548-1216

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN239065
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP239065
GA

Other

Enumeration date
09/03/2019
Last updated
11/17/2025
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