LAVENICE GRACE

Contractor

Active Individual
NPI: 1548097827

Practice Address

245 OAKLAND PKWY APT 1201
Leesburg, GA 31763

Phone: (229) 376-6065

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1548097827 is the National Provider Identifier for LAVENICE GRACE, a Contractor provider located in Leesburg, GA. This NPI was enumerated on September 19, 2024.
LAVENICE GRACE practices at 245 OAKLAND PKWY APT 1201, Leesburg, GA 31763.

Quick Facts

NPI
1548097827
Type
Individual
Enumerated
Sep 19, 2024
Last Updated
Sep 19, 2024

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