Individual
HAZEL LACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 HOLCOMB BRIDGE RD, PEACHTREE CORNERS, GA 30092-3361
(770) 417-5106
Mailing address
2124 CHESHIRE BRIDGE RD NE APT 6104, ATLANTA, GA 30324-5725
(352) 497-0608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030260
GA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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