Lavasha Warren

NPI #1063238657 in Warner Robins, Georgia

Provider Information

NPI Number: 1063238657
Entity Type: Individual
Name: Lavasha Warren
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Nov 27, 2024
Last Updated: Nov 27, 2024

Practice Location

Address: 940 GA HIGHWAY 96 STE C
City: Warner Robins
State: Georgia
ZIP Code: 31088-2585
Phone: (229) 591-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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