| Doctor Name: | KARAN DIETZ-LINDO |
| NPI Number: | 1083738405 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 125161 |
| Business Practice Address: | 1136 Cleveland Ave Suite 421 East Point, GA - 303443618 |
| Business Phone Number: | 4047617949 |
| Business Fax Number: | 4047617386 |
| Mailing Address: | 136 Kirkley Rd, TYRONE |
| State: | GA |
| Postal Code: | 302901500 |
| Phone Number: | 4047834188 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 125161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |