Individual
MRS. LAURA WILKERSON HISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 356-2155
(912) 353-3195
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN084002
GA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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