Individual
LANIE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1110 HILLCREST PKWY, DUBLIN, GA 31021-3687
(912) 245-1145
Mailing address
PO BOX 16100, DUBLIN, GA 31040-6100
(912) 245-1145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN175924
GA
Other
Enumeration date
11/05/2013
Last updated
08/15/2017
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