Individual
MISS LOPHENIA FIONA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
5400 MEMORIAL DR APT 11G, STONE MOUNTAIN, GA 30083-3221
(202) 826-1148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN291219
GA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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