Individual
ALECIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 LENOX PARK BLVD NE, 16103, ATLANTA, GA 30319-5826
(404) 563-5117
Mailing address
1050 LENOX PARK BLVD NE, 16103, ATLANTA, GA 30319-5826
(404) 563-5117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076041
GA
164W00000X
Licensed Practical Nurse
PN5165554
FL
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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