Individual
LETITIA LORRAINE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2039 10TH AVE, COLUMBUS, GA 31901-1459
(706) 324-2485
(706) 327-9769
Mailing address
2039 10TH AVE, COLUMBUS, GA 31901-1459
(706) 324-2485
(706) 327-9769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003447
GA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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