Individual
JASON LESANDRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
GRADY
GA
Enumeration date
10/31/2011
Last updated
10/31/2011
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