NPI | 1134885098 |
---|---|
Other Name | LEMON JUICE MD |
Entity Type | Organization |
Authorized Contact | VONITA ISIDORE Owner/Provider 678-378-3119 |
Organization Subpart ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2021-11-15 |
Last Update Date | 2025-02-20 |