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Lavenice Grace
NPI 1548097827 · on the registry since 2024
Practice
- Address
- 245 Oakland Pkwy Apt 1201
Leesburg, GA 31763 - Phone
- (229) 376-6065
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Male
- Record last updated
- 2024-09-19
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