Individual
LASHUNDA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8286 CHAMPION TRL, FAIRBURN, GA 30213-4725
(678) 499-2547
Mailing address
8286 CHAMPION TRL, FAIRBURN, GA 30213-4725
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076555
GA
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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