Search › Georgia › 156FX1800X
Brian Lisi, LDO, ABOC, NCLEC
NPI 1306712005 · on the registry since 2025
Practice
- Address
- 3040 Battlefield Pkwy
Fort Oglethorpe, GA 30742 - Phone
- (706) 861-5622
- Fax
- (706) 861-5704
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-11
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