Individual
DR. JOAN ALLISON LANUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3626 VINEVILLE AVE, MACON, GA 31204-1853
(478) 474-4073
(478) 474-4074
Mailing address
3027 GENERAL LEE RD, MACON, GA 31204-1517
(478) 474-4073
(478) 474-4074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002796
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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