Search › Georgia › 207Q00000X
Lisa Vickery
NPI 1336660455 · on the registry since 2017 · sole proprietor
Practice
- Address
- 321 Woodland Rd
Monroe, GA 30655 - Phone
- (770) 267-3918
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-06-28
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