Individual
LISA STONEBRAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E MAIN ST STE 116, WOODSTOCK, GA 30188-5013
(770) 485-7459
Mailing address
105 E MAIN ST STE 116, WOODSTOCK, GA 30188-5013
(770) 485-7459
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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