NPI 1609740240

Lancine Cisse

Practitioner Private Vehicle Atlanta, GA

Practice location

Address: 5621 Grande River Rd, Atlanta, GA 30349-9126
Phone: (217) 607-6243

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence CJP1942 (GA)

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Registry record

NPI: 1609740240
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2025
Record last updated: 4 Oct 2025

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.