NPI 1407690647

Lawanda Foster

Practitioner Driver Austell, GA

Practice location

Address: 5005 Ivy Cottage Ln, Austell, GA 30106-2670
Phone: (678) 437-6198

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1407690647
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2024
Record last updated: 22 Jun 2024

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.