NPI 1508572306

Laneatria Lynn Willis, CPHTCHES

Practitioner Health Educator Decatur, GA

Practice location

Address: 2551 Cloud Ln, Decatur, GA 30034-2253
Phone: (404) 536-0864
Mailing address: PO Box 467102, Atlanta, GA 31146-7102

Registered specialties (2)

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X

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Registry record

NPI: 1508572306
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2023
Record last updated: 25 Jan 2023

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.