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Individual

LALOMIE TIBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
5 CAROLINA ST, PHENIX CITY, AL 36869-5435
(661) 233-7803
Mailing address
5 CAROLINA ST, PHENIX CITY, AL 36869-5435

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212664
GA

Other

Enumeration date
03/04/2019
Last updated
03/04/2019
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