Lassina Will Koidima
AGACNP | Nurse Practitioner - Acute Care | 6+ years Exp
1635 Pondside Dr, Statesboro
Georgia, 30458-3777
912-507-9077
Lassina Will Koidima is a Statesboro, Georgia based nurse practitioner with 6 years of experience in Acute Care. He completed his graduation from University Of South Alabama College Of Medicine in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lassina Will Koidima is RN220878 for Acute Care in Georgia. His current practice location is 1635 Pondside Dr, Statesboro. Patients can reach him at 912-507-9077. Lassina Will Koidima is AGACNP with specialization in Acute Care and his NPI number (Unique professional ID assigned by NPPES) is 1710548771.
Lassina Will Koidima is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Lassina Will Koidima speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lassina Will Koidima |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Male |
| Credentials: | AGACNP |
| Experience: | 6+ years |
| Medical School Attended: | University Of South Alabama College Of Medicine |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1635 Pondside Dr, Statesboro,
Georgia, 30458-3777 |
| Phone: | 912-507-9077 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8426481458 |
| Enrollment ID: | I20191205002127 |
| NPI Number: | 1710548771 |
| NPI Enumeration Date: | 21 Jun, 2019 |
| NPI Last Update On: | 11 Nov, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lassina Will Koidima are as mentioned below.
| License Number | Specialization | State | Status | |
| RN220878 | Acute Care | Georgia | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lassina Will Koidima is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Sound Physicians Of Georgia Iii, Pc (1456625847) | 122 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lassina Will Koidima
1635 Pondside Dr,
Statesboro, Georgia |
| Zip: | 30458-3777 |
| Phone Number: | 912-507-9077 |
Patients can reach Lassina Will Koidima at
1635 Pondside Dr, Statesboro, Georgia or can
call to book an appointment on 912-507-9077.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.