Individual
DANIELLE HAVIVAH LAMPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2665 N DECATUR RD STE 240, DECATUR, GA 30033-6136
(404) 778-7667
Mailing address
618 HIGHLAND LAKE CIR, DECATUR, GA 30033-3446
(770) 630-7107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
12075
GA
Other
Enumeration date
03/27/2017
Last updated
02/29/2024
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