LISA PRUITT

JONESBORO, GA
NPI1740712454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN141119)
Enumeration Date2017-03-31
Last Update Date2017-03-31
Business Address
-- LISA PRUITT RN, IBCLC
2400 MOUNT ZION PKWY
JONESBORO, GA 30236-2500
Phone number: 770-603-3671
Mailing Address
-- LISA PRUITT RN, IBCLC
5557 PLATTE DR
ELLENWOOD, GA 30294-6657
Phone number: 404-610-7010
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