Individual
LAYCEE SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1335 N 5TH STREET EXT STE A, CORDELE, GA 31015-3753
(229) 417-9105
Mailing address
688 ROSS CROSSING RD, VIENNA, GA 31092-8940
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
096281
GA
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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