Individual provider · Type 1 NPI

Demetre Ledlum

Student in an Organized Health Care Education/Training Program · Lawrenceville, GA

NPI number 1730644295 Active

Practice location

2660 Deer Isle Cv
Lawrenceville, GA 30044-5263

Call (404) 956-0878 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730644295

Demetre Ledlum's National Provider Identifier is 1730644295, issued on Feb 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 8, 2019.