| Lasidra Brabson, | |
|
1580 Boggs Rd Ste 700, Duluth, GA 30096-9097 | |
| (678) 751-5980 | |
| Not Available |
| Full Name | Lasidra Brabson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Occupational Health |
| Location | 1580 Boggs Rd Ste 700, Duluth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841987294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LX0106X | Nurse Practitioner - Occupational Health | 217398 (Georgia) | Primary |
| Entity Name | Medical Director Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20190301002321 |
| Entity Name | Regenerative Wound Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730928235 PECOS PAC ID: 2668917865 Enrollment ID: O20240711003920 |
| Mailing Address | Practice Location Address |
|---|---|
| Lasidra Brabson, 3435 Spring Place Ct, Loganville, GA 30052-5291 Ph: (678) 751-5980 | Lasidra Brabson, 1580 Boggs Rd Ste 700, Duluth, GA 30096-9097 Ph: (678) 751-5980 |
Christopher Pride, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052 | |
Michael Christopher Parrinello, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Crestwood Pkwy Nw, Duluth, GA 30096 Phone: 404-402-7930 | |
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151 | |
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396 | |
Dailan Zhang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3960 Howell Park Rd, Duluth, GA 30096 Phone: 404-324-0131 | |
Alicia Michele Cole, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 Pleasant Hill Rd, Duluth, GA 30096 Phone: 404-943-9996 Fax: 404-943-9975 | |
Juri Kubes, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3855 Pleasant Hill Rd Ste 480, Duluth, GA 30096 Phone: 770-623-6433 |