Individual
MARGARET EISELE-LAZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
160 THICKET TRL, MCDONOUGH, GA 30252-2572
(704) 500-9967
Mailing address
160 THICKET TRL, MCDONOUGH, GA 30252-2572
(704) 500-9967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001622
GA
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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