| Lilburn Wic Clinic | |
|
5342 Lawrenceville Hwy Nw Lilburn GA 30047-5952 | |
| (678) 924-1546 | |
| Not Available |
| Full Name | Lilburn Wic Clinic |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 5342 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Veronica Hudson (BILLING SUPERVISOR) |
| Authorized Official Contact | 6784426884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilburn Wic Clinic 2570 Riverside Pkwy P O Box 897 Lawrenceville GA 30046-3339 Ph: (770) 339-4260 | Lilburn Wic Clinic 5342 Lawrenceville Hwy Nw Lilburn GA 30047-5952 Ph: (678) 924-1546 |
| NPI Number | 1427312370 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427312370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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