Individual
MRS. LISA RENEE FOSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 542-9693
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 542-9693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN063419
GA
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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