Individual
MS. LAKISHA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
6149 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-4479
(770) 994-0141
Mailing address
7548 CHADS CIR, JONESBORO, GA 30236-5709
(678) 790-8654
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
002699
GA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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