Individual
LISA MARIE DIONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 887-1368
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
376K00000X
Nurse's Aide
CN0028903911
GA
Other
Enumeration date
11/07/2017
Last updated
06/01/2022
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