| Lemon Juice MD | |
|
2817 James Henry Dr Dacula GA 30019-7553 | |
| (678) 638-9579 | |
| Not Available |
| Full Name | Lemon Juice MD |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 2817 James Henry Dr, Dacula, Georgia |
| Authorized Official Name and Position | Vonita Isidore (OWNER/PROVIDER) |
| Authorized Official Contact | 6783783119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemon Juice MD 2812 N Dr William Finlayson St Apt 506 Milwaukee WI 53212-2356 Ph: (678) 372-3119 | Lemon Juice MD 2817 James Henry Dr Dacula GA 30019-7553 Ph: (678) 638-9579 |
| NPI Number | 1134885098 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134885098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (NU) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (NU) | Primary |
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