Leslie Andrew Cornett, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Morrow, GA

NPI

1568613628

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

LPN052496 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-10-08

Last updated

2008-10-08