Individual
LIEZL DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 785-5497
Mailing address
1458 MEADOWCREEK CT, DUNWOODY, GA 30338-3803
(678) 612-3606
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
293015
GA
Other
Enumeration date
04/06/2022
Last updated
04/07/2024
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