Provider Demographics
NPI:1598920423
Name:FEMINA HEALTHCARE INC.
Entity Type:Organization
Organization Name:FEMINA HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:
Authorized Official - Last Name:LACZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-445-8181
Mailing Address - Street 1:3229 S CHEROKEE LN
Mailing Address - Street 2:BUILDING 1400
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-4461
Mailing Address - Country:US
Mailing Address - Phone:678-445-8181
Mailing Address - Fax:678-445-8162
Practice Address - Street 1:3229 S CHEROKEE LN
Practice Address - Street 2:BUILDING 1400
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-4461
Practice Address - Country:US
Practice Address - Phone:678-445-8181
Practice Address - Fax:678-445-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038678207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty