NPI 1073134276
Lacey Lee Cooper, RDH
Practice location
- Address
- 3189 Maple Dr NE, Atlanta, GA 30305-2501
- Phone
- (770) 998-3838
- Mailing address
- 713 Woodbridge Dr, Woodstock, GA 30188-7146
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1073134276
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Apr 2020
- Record last updated
- 29 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.