SearchGeorgia207W00000X

Lawrence Brack, M.D

NPI 1265441315 · on the registry since 2006 · sole proprietor

Practice

Address
5900 Hillandale Dr
Suite 345
Lithonia, GA 30058
Phone
(770) 987-0733
Fax
(770) 987-3978
Organisation at this address
Peniel Womens Center
Capstone Medical Group
Southpoint Eye Care Pc
Hillandale Primary Care
Digestive Healthcare Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
207W00000X
207W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia