Individual
MS. LISA C WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
2 WHEELER ST, SAVANNAH, GA 31405-5700
(912) 356-2953
(912) 356-2465
Mailing address
1016 BONAVENTURE RD, SAVANNAH, GA 31404-3033
(912) 232-0295
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10053604
AMERIGROUP PROVIDER NUMBE
GA
Enumeration date
12/05/2006
Last updated
07/08/2007
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