Individual
LAKONDRIA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 MAIN ST, PALMETTO, GA 30268-1142
(770) 463-0202
Mailing address
7463 SANDSTONE LN, UNION CITY, GA 30291-3423
(229) 733-4333
(229) 733-4333
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN299587
GA
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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