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Lawanna Tremetrice Gray
Prosthetics Case Management in College Park, Georgia
NPI 1205338449

Lawanna Tremetrice Gray is a Prosthetics Case Management based in College Park, GA and is specialized in Prosthetics Case Management. Lawanna Tremetrice Gray practices in College Park, GA. The NPI Number for Lawanna Tremetrice Gray is 1205338449 and holds a License No. CO088919 (Georgia).

The current practice location address for Lawanna Tremetrice Gray is 3741 College St, College Park, GA and can be reached out via phone at 404-914-3303.

Location: 3741 College St, College Park, GA, 30337-3541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205338449
Provider Name
Lawanna Tremetrice Gray
Credential
Provider Entity Type
Individual
Gender
Female
Address
3741 College St, College Park, GA, 30337-3541
Phone Number
404-914-3303
Fax Number
Provider Enumeration Date
03/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3741 College St
City
College Park
State
Georgia
Zip
30337-3541
Phone Number
404-914-3303
Fax Number
person
Provider Business Mailing Address Details
Address
3741 College St
City
College Park
State
Georgia
Zip
30337-3541
Phone Number
404-914-3303
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
CO088919 (Georgia)
Definition
Definition to come...
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