Individual
LOU A. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
136 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-6300
(478) 953-1020
(478) 953-5406
Mailing address
136 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-6300
(478) 953-1020
(478) 953-5406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN160083
GA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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