Individual
TYLER JUSTIN LEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
80 SEVEN HILLS BLVD BLDG 200, DALLAS, GA 30132-0544
(678) 324-4211
Mailing address
80 SEVEN HILLS BLVD BLDG 200, DALLAS, GA 30132-0544
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003587
GA
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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