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Search › Georgia › 156FX1800X

Lisa Vinavong, LDO

NPI 1518328616 · on the registry since 2016 · sole proprietor

Practice

Address
2234 Palmyra Rd
Albany, GA 31701
Phone
(229) 485-9264
Fax
(229) 888-3688
Organisation at this address
V: Optical Laboratory, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Also registered as
156FC0801X
332H00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-16

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