Lawanda Foster

Individual provider Active NPI Driver · Austell, GA

NPI 1407690647 · NPPES record last updated Jun 22, 2024

Key facts

NPI
1407690647
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
5005 Ivy Cottage LN
Austell, GA 30106-2670
Phone
(678) 437-6198
NPI assigned
Jun 22, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Cares Transport, LLC Current
since Jun 23, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

5005 Ivy Cottage LN
Austell, GA 30106-2670

Mailing address

5005 Ivy Cottage LN
Austell, GA 30106-2670
Phone (678) 437-6198

Other providers in Austell, GA

All providers in Austell, GA · Driver in Georgia

Sources for this page

Verify at the official NPI Registry.