Individual
LESLEY DAWN OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
623 S HOUSTON LAKE RD STE 500, WARNER ROBINS, GA 31088-9094
(478) 333-6977
Mailing address
623 S HOUSTON LAKE RD STE 500, WARNER ROBINS, GA 31088-9094
(478) 333-6977
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN268135
GA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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