Individual
LESA KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
1360 UPPER HEMBREE RD, SUITE 201, ROSWELL, GA 30076-1146
(770) 475-3361
(770) 664-4431
Mailing address
PO BOX 933087, ATLANTA, GA 31193-3087
(770) 475-3361
(770) 664-4431
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1371
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1371
LICENSE
GA
Enumeration date
05/07/2007
Last updated
04/23/2008
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