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Individual

LISA GOGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLC

Contact information

Practice address
8505 WATERS AVE, APT 66, SAVANNAH, GA 31406-6036
(912) 662-5069
Mailing address
PO BOX 5363, SAVANNAH, GA 31414-5363
(912) 662-5069

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
174H00000X
Health Educator
174N00000X
Lactation Consultant (Non-RN)
Primary

Other

Enumeration date
04/13/2016
Last updated
04/13/2016
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