person
Lawanda Greene, NP
Gerontology Nurse Practitioner in Macon, Georgia
NPI 1598152811

Lawanda Greene is a Gerontology Nurse Practitioner based in Macon, GA and is specialized in Gerontology. Lawanda Greene practices in Macon, GA and has the professional credentials of NP. The NPI Number for Lawanda Greene is 1598152811 and holds a License No. RN176432 (Georgia).

The current practice location address for Lawanda Greene is 770 Walnut St, Macon, GA and can be reached out via phone at 478-787-4266 and via fax at 478-787-4199. You can also correspond with Lawanda Greene through the mailing address at PO BOX 4363, MACON, GA - 31208-4363 (mailing address contact number: 478-787-4266).

Location: 770 Walnut St, Macon, GA, 31208-4363
person
Provider Profile Details
NPI Number
1598152811
Provider Name
Lawanda Greene
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
770 Walnut St, Macon, GA, 31208-4363
Phone Number
478-787-4266
Fax Number
478-787-4199
Provider Enumeration Date
04/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
713878795A 05 GA
institution
Provider Business Practice Location Address Details
Address
770 Walnut St
City
State
Zip
31201-7307
Phone Number
478-787-4266
Fax Number
478-787-4199
person
Provider Business Mailing Address Details
Address
Po Box 4363
City
State
Zip
31208-4363
Phone Number
478-787-4266
Fax Number
478-787-4199
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN176432 (Georgia)
Definition
Definition to come...
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