Individual
LARA MILLIKAN RANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165
(706) 509-3430
(706) 291-2147
Mailing address
230 PIONEER TRAIL, CARTERSVILLE, GA 30121
(770) 841-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN203833
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN203833
GA
Other
Enumeration date
10/13/2016
Last updated
11/13/2020
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