Individual
LESIA HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 NOBLE CREEK NWDR, ATLANTA, GA 30327-5121
(804) 651-0000
(410) 569-7137
Mailing address
2020 HOWELL MILL RD NW, D-421, ATLANTA, GA 30318-1732
(804) 651-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1020457
DC
363LP2300X
Primary Care Nurse Practitioner
Primary
RN115103
GA
Other
Enumeration date
11/14/2013
Last updated
12/30/2015
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