Individual
LAUREN ELIZABETH VILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
2490 RIVERSIDE DR STE B, MACON, GA 31204-1787
(478) 633-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
83651
GA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
83651
GA
Other
Enumeration date
04/14/2013
Last updated
07/23/2020
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