Individual
LISA MARIE CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 ATKINSON RD STE 101, LAWRENCEVILLE, GA 30043-5066
(678) 442-7861
Mailing address
430 SILVERTHORNE PT, LAWRENCEVILLE, GA 30043-6828
(678) 644-7490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003821
GA
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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