Organization
LEMON JUICE HEALTHCARE SERVICES LLC
Active
Organization
LEMON JUICE HEALTHCARE SERVICES LLC
Active
Other names
VONITA ISIDORE, LEMON JUICE HEALTHCARE SERVICE LLC, Lemon Juice MD
Organization subpart
No
Provider details
NPI number
Authorized official
VONITA ISIDORE (CNA)
(678) 372-3119
Entity
Organization
Contact information
Practice address
2817 JAMES HENRY DR, DACULA, GA 30019-7553
(404) 452-6450
Mailing address
2817 JAMES HENRY DR, DACULA, GA 30019-7553
(404) 452-6450
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081916
—
WI
05
—
100302415
—
WI
05
—
252Y00000X
—
GA
01
—
261QP0905X
CLINC/CENTER//PUBLIC HEALTH/STATE OR LOCAL
GA
Enumeration date
12/09/2022
Last updated
02/20/2025
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