Organization
LISASOMMERM.ED.L.P.C. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SOMMER M.ED. (OWNER)
(770) 442-0939
Entity
Organization
Contact information
Practice address
55 ROSWELL ST, ALPHARETTA, GA 30004-1929
(770) 442-0939
Mailing address
55 ROSWELL ST, ALPHARETTA, GA 30004-1929
(770) 442-0939
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007890
PROVIDER NUMBER
GA
Enumeration date
05/30/2007
Last updated
08/22/2020
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