Individual
LISA K PICEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
523B CASSVILLE RD, CARTERSVILLE, GA 30120-2338
(770) 477-2945
Mailing address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(770) 386-1907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN056591
GA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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