Organization
LD HEALTHCARE SERVICE, LLC
Active
Other names
LD healthcare Service, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN LAWSON RN (OWNER/ADMINISTRATOR)
(770) 648-2267
Entity
Organization
Contact information
Practice address
1976 ALCOVY TRACE WAY, LAWRENCEVILLE, GA 30045-7937
(770) 648-2267
(229) 389-2638
Mailing address
1976 ALCOVY TRACE WAY, LAWRENCEVILLE, GA 30045-7937
(770) 648-2267
(229) 389-2638
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003223819A
—
GA
05
—
003223819B
—
GA
Enumeration date
11/07/2019
Last updated
11/07/2019
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