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Individual

LUCY MARLENA PERKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 672-1118
(706) 672-1918
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 672-1118
(706) 672-1918

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN148540
GA

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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