Individual provider · Type 1 NPI

Lashane Ledbetter

Surgical Physician Assistant · Griffin, GA

NPI number 1760646301 Active

Practice location

294 Lenox Cir
Griffin, GA 30224-7157

Fax (770) 985-4258

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X049934483 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1760646301

Lashane Ledbetter's National Provider Identifier is 1760646301, issued on Jul 14, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Griffin, GA. The record was last updated on Jul 14, 2008.