Individual
LISA MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
(706) 596-5589
Mailing address
3634 17TH AVE., COLUMBUS, GA 31904
(706) 341-9354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109540
GA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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