Individual
LAURA LUCAS YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-1675
Mailing address
2220 N DRUID HILLS RD NE # ND, ATLANTA, GA 30329-3117
(404) 785-1675
(770) 534-8998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN112888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760317
—
GA
Enumeration date
03/22/2006
Last updated
10/09/2024
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