Individual
MS. LISA C FLACHBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC, GNP-BC
Contact information
Practice address
1864 JENNA LYN CT, LAWRENCEVILLE, GA 30043-7103
(678) 873-2426
Mailing address
1864 JENNA LYN CT, LAWRENCEVILLE, GA 30043-7103
(678) 873-2426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN160118
GA
363LA2200X
Adult Health Nurse Practitioner
RN160118
GA
363LG0600X
Gerontology Nurse Practitioner
RN160118
GA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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