Individual
LAUREN FESPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 KING AVE STE 130, ATHENS, GA 30606
(706) 475-1870
(706) 475-1879
Mailing address
110 PINYON PINE CIR APT 1210, ATHENS, GA 30606-5684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN249288
GA
363LA2100X
Acute Care Nurse Practitioner
RN249288
GA
Other
Enumeration date
04/02/2020
Last updated
07/27/2020
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