Individual
LISA GOSLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1800 GALLERIA BLVD STE 2321, FRANKLIN, TN 37067-1694
(615) 771-7382
(615) 771-7295
Mailing address
2801 WILMA RUDOLPH BLVD, SUITE 665, CLARKSVILLE, TN 37040-5011
(931) 552-4455
(931) 552-4455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1761
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3941218
—
TN
Enumeration date
12/26/2006
Last updated
10/23/2014
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