Individual
LAUREN ACCOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
882 PONCE DE LEON AVE NE # 2330, ATLANTA, GA 30306-4268
(770) 809-3034
Mailing address
1220 MECASLIN ST NW APT 2330, ATLANTA, GA 30318-5656
(704) 648-1872
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12728
GA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2023
Last updated
05/08/2026
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