Individual
LAVELLE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3343 PEACHTREE RD NE, ATLANTA, GA 30326-1085
(678) 545-4860
Mailing address
3343 PEACHTREE RD NE, ATLANTA, GA 30326-1085
(678) 545-4860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN143409
GA
163WH0200X
Home Health Registered Nurse
Primary
RN143409
GA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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