Search › Georgia › 363LA2100X
Lassina Koidima, AGACNP
NPI 1710548771 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1635 Pondside Dr
Statesboro, GA 30458 - Phone
- (912) 507-9077
Additional practice sites
- 1499 Fair Rd, Statesboro, GA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-11
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