Organization
GEORGIA LIONS LIGHTHOUSE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA LENNON M.A. (EXECUTIVE DIRECTOR)
(404) 325-3630
Entity
Organization
Contact information
Practice address
5582 PEACHTREE RD, CHAMBLEE, GA 30341-2383
(404) 325-3630
Mailing address
5582 PEACHTREE RD, CHAMBLEE, GA 30341-2383
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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