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Individual

DR. LAKESHA TAMIA STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6516 KITTEN LAKE DR STE E8, MIDLAND, GA 31820-3840
(706) 507-5280
(706) 507-5281
Mailing address
6516 KITTEN LAKE DR STE E8, MIDLAND, GA 31820-3840
(706) 507-5280
(706) 507-5281

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002720
GA
152W00000X
Optometrist
S-C89-TA-942
AL

Other

Enumeration date
07/17/2012
Last updated
10/26/2022
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