Individual
EMILY LAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
895 CANTON RD NE BLDG 200, MARIETTA, GA 30060-8934
(678) 784-0235
Mailing address
3024 HIDDEN FOREST CT UNIT 3206, MARIETTA, GA 30066-3148
(352) 464-5809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003456
GA
390200000X
Student in an Organized Health Care Education/Training Program
OEG003796
PA
Other
Enumeration date
07/13/2021
Last updated
08/08/2023
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