EIDETTE LAMERA LISONDRA

ATHENS, GA
NPI1952153744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-04
Last Update Date2024-04-04
Business Address
EIDETTE LAMERA LISONDRA MD
1270 PRINCE AVE STE 102
ATHENS, GA 30606-2700
Phone number: 706-475-7055
Mailing Address
EIDETTE LAMERA LISONDRA MD
1270 PRINCE AVE STE 102
ATHENS, GA 30606-2700
Phone number: 706-475-7055