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Search › Georgia › 363LP2300X

Lucille Travis, NP

NPI 1093206674 · on the registry since 2018

Practice

Address
4095 Atlanta Hwy
Hiram, GA 30141
Phone
(404) 488-9521
Fax
(404) 836-8030
Organisation at this address
Gredel Pharmacy
Kingdom Healthcare Services, Llc
Csrp Integrative Psychiatry Limited Liability Company
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
363LG0600X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia