Provider Demographics
NPI:1639813173
Name:STONE, LAMECHIA (PHLEBOTOMY)
Entity Type:Individual
Prefix:
First Name:LAMECHIA
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:PHLEBOTOMY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 HANES DR
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-1832
Mailing Address - Country:US
Mailing Address - Phone:404-602-2343
Mailing Address - Fax:
Practice Address - Street 1:521 HANES DR
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-1832
Practice Address - Country:US
Practice Address - Phone:404-602-2343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QB0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyBlood Banking
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA056009845Medicaid
GA056009844Medicaid