Individual
MISS LAWANDA JAVON MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
659 OAK RIDGE RD, SOPERTON, GA 30457-3227
(478) 268-0782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN099908
GA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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