Individual
MRS. WANDA GAIL LAGRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.O.
Contact information
Practice address
712 E 69TH ST, SAVANNAH, GA 31405-4716
(912) 354-6445
(912) 354-3393
Mailing address
712 E 69TH ST, SAVANNAH, GA 31405-4716
(912) 354-6445
(912) 354-3393
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1041
GA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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