Lavenice J Grace
Lavenice J Grace is a Contractor in Leesburg, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
245 Oakland Pkwy Apt 1201Leesburg, GA 31763-1835
Phone: (229) 376-6065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1548097827 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 19, 2024 |
| Last updated in NPPES | September 19, 2024 |
| Certification date | September 19, 2024 |
| Mailing address | 245 Oakland Pkwy Apt 1201, Leesburg, GA 31763-1835 |
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