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Individual

DR. LAUREL R LEMASTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3193 HOWELL MILL RD NW, SUITE 110, ATLANTA, GA 30327-2119
(404) 355-7591
(404) 355-9175
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA 30005-5462
(770) 300-0101
(770) 300-0429

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
047340
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000841563AA
GA
01
202G708830
RAILROAD MEDICARE
GA
01
P00127837
RAILROAD MEDICARE
GA
Enumeration date
12/05/2005
Last updated
10/02/2009
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