Individual
LAZEFIA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PP
Contact information
Practice address
909 42ND ST E, TIFTON, GA 31794-1512
(229) 848-7640
Mailing address
909 42ND ST E, TIFTON, GA 31794-1512
(229) 848-7640
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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