Individual
DR. LISA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CORPORATE CENTER DR STE 200, MORROW, GA 30260-4129
(770) 968-6464
(770) 968-6455
Mailing address
1000 CORPORATE CENTER DR STE 200, MORROW, GA 30260-4129
(770) 968-6464
(770) 968-6455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87291
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
09/09/2021
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