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Individual

MR. BRIAN LISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LDO, ABOC, NCLEC

Contact information

Practice address
3040 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4004
(706) 861-5622
(706) 861-5704
Mailing address
40 E CAROLYN CIR, RINGGOLD, GA 30736-5523
(614) 565-0365
(706) 861-5704

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO003080
GA

Other

Enumeration date
10/11/2025
Last updated
10/11/2025
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