Individual provider · Type 1 NPI

Lisa Bonner

Driver · Atlanta, GA

NPI number 1285375774 Active

Practice location

2544 Mcclave Dr, Ste. #210 PMB1046
Atlanta, GA 30340-1952

Mailing address

2544 Mcclave Dr., Ste. #210 PMB1046
Atlanta, GA 30340-1952

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1285375774

Lisa Bonner's National Provider Identifier is 1285375774, issued on Apr 6, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 26, 2025.