Healthcare Provider Details

I. General information

NPI: 1659200152
Provider Name (Legal Business Name): YOHANNA M LESMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 WHITEBLUFF WAY
BUFORD GA
30519-5179
US

IV. Provider business mailing address

2071 WHITEBLUFF WAY
BUFORD GA
30519-5179
US

V. Phone/Fax

Practice location:
  • Phone: 770-365-6165
  • Fax:
Mailing address:
  • Phone: 770-365-6165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA002374
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: