Individual
MS. LAJUANA OSBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 PEACHTREE ST NE STE 1220, ATLANTA, GA 30308-2237
(404) 230-5622
Mailing address
714 THOMPSON RIDGE DR, MONROE, GA 30655-8539
(954) 646-7594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11896
GA
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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