Individual
LANI HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
64 MOUNTAIN DR, DAHLONEGA, GA 30533-1601
(706) 864-6196
(706) 867-0729
Mailing address
64 MOUNTAIN DR, DAHLONEGA, GA 30533-1601
(706) 864-6196
(709) 867-0729
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003663
GA
Other
Enumeration date
01/18/2007
Last updated
07/09/2007
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