Individual
LEANDREA STUDSTILL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 972-0277
Mailing address
PO BOX 26698, MACON, GA 31221-6698
(478) 226-4115
(478) 226-4113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN144544
GA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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