Individual
LISA GARDISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2646 HWY 56 E, LYONS, GA 30436-4358
(912) 293-0056
Mailing address
2646 HWY 56 E, LYONS, GA 30436-4358
(912) 293-0056
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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