Individual
LISA YVONNE HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 HUGHES DR, MIDWAY, GA 31320-3448
(912) 877-0104
Mailing address
100 HUGHES DR, MIDWAY, GA 31320-3448
(912) 877-0104
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN060195
GA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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