Provider Demographics
NPI:1114643095
Name:FIGUEROA, LEXAIDA J
Entity Type:Individual
Prefix:
First Name:LEXAIDA
Middle Name:J
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 POWERS FERRY RD SE APT M6
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-3920
Mailing Address - Country:US
Mailing Address - Phone:770-294-2979
Mailing Address - Fax:
Practice Address - Street 1:6346 TARA BLVD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-1224
Practice Address - Country:US
Practice Address - Phone:404-800-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO10859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor