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Pascha Ladawn Lyles
Gerontology Nurse Practitioner in Buford, Georgia
NPI 1518660653

Pascha Ladawn Lyles is a Gerontology Nurse Practitioner based in Buford, GA and is specialized in Gerontology. Pascha Ladawn Lyles practices in Buford, GA. The NPI Number for Pascha Ladawn Lyles is 1518660653 and holds a License No. RN194466 (Georgia).

The current practice location address for Pascha Ladawn Lyles is 3347 Edenridge Ct, Buford, GA and can be reached out via phone at 678-943-3195.

Location: 3347 Edenridge Ct, Buford, GA, 30519-7230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518660653
Provider Name
Pascha Ladawn Lyles
Credential
Provider Entity Type
Individual
Gender
Female
Address
3347 Edenridge Ct, Buford, GA, 30519-7230
Phone Number
678-943-3195
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3347 Edenridge Ct
City
Buford
State
Georgia
Zip
30519-7230
Phone Number
678-943-3195
Fax Number
person
Provider Business Mailing Address Details
Address
3347 Edenridge Ct
City
Buford
State
Georgia
Zip
30519-7230
Phone Number
678-943-3195
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN194466 (Georgia)
Definition
Definition to come...
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