Lacoste, Kathalina Vershelle

Lacoste, Kathalina Vershelle is an individual health care provider with primary practice located at 5049 Highland Hills Pkwy , Stone Mountain GA 30088-3740. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lacoste, Kathalina Vershelle can be contacted via phone (678) 777-5995.

Contact Information

Primary practice address
5049 Highland Hills Pkwy Stone Mountain GA 30088-3740
Phone: (678) 777-5995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 114591 Georgia

Profile Details

NPI number 1255459335
LBN Legal business name Lacoste, Kathalina Vershelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Oct 5th, 2010 - about 16 years ago

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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