Blackmon, Leasa Lasae
Blackmon, Leasa Lasae is an individual health care provider with primary practice located at 240 Mitchell Bridge Rd , Athens GA 30606-2043. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blackmon, Leasa Lasae can be contacted via phone (770) 910-9196.Contact Information
Primary practice address
240 Mitchell Bridge Rd
Athens GA 30606-2043
Phone: (770) 910-9196
Fax: (678) 682-8747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 221219 | Georgia |
Profile Details
| NPI number | 1689420424 |
|---|---|
| LBN Legal business name | Blackmon, Leasa Lasae |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2024 |
| Last updated | Apr 24th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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