Individual
LAURIE DIMISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4228
(404) 727-8645
Mailing address
789 HOUSTON MILL RD NE APT 6, ATLANTA, GA 30329-4228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN281555
GA
363L00000X
Nurse Practitioner
Primary
RN281555
GA
Other
Enumeration date
04/14/2023
Last updated
07/02/2025
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