Individual
MRS. CEDRICKA LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2075 HAMILTON CREEK PKWY UNIT 200, DACULA, GA 30019-7285
(770) 586-0300
Mailing address
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019-7285
(770) 586-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN264255
GA
Other
Enumeration date
02/07/2023
Last updated
05/25/2023
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