Individual
LANI MICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-6885
Mailing address
2694 OLD ROCKMART RD SE, SILVER CREEK, GA 30173-3125
(678) 361-6926
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006220
GA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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