Individual
DR. LISA A VINOKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11975 MORRIS RD STE 310B, ALPHARETTA, GA 30005-4703
(770) 754-4445
(770) 754-4449
Mailing address
11975 MORRIS ROAD, SUITE 310B, ALPHARETTA, GA 30005-4434
(770) 754-4445
(770) 754-4449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038394
GA
207V00000X
Obstetrics & Gynecology Physician
038394
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002095813B
—
GA
05
—
1023015963
—
GA
01
—
52473770
BLUE CROSS BLUE SHIELD
GA
Enumeration date
07/07/2005
Last updated
02/20/2025
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