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Individual

DR. ANGELIQUE LEA LACAVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP-FNP-C

Contact information

Practice address
800 E WEST CONNECTOR, AUSTELL, GA 30106-1358
(770) 438-1680
Mailing address
209 COOLEY DR STE 100, VILLA RICA, GA 30180-7057
(770) 456-0911

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN257986
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-AP257986
GA

Other

Enumeration date
01/17/2021
Last updated
10/10/2025
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