Lisa Wilson, is a
Radiology - Diagnostic Ultrasound physician based in Lilburn, Georgia. Lisa Wilson is licensed to practice in Georgia (license number 58124) and her current practice location is 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, Georgia. She can be reached at her office (for appointments etc.) via phone at
(470) 545-2131.
NPI number for Lisa Wilson is 1043718471 and her current mailing address is 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043718471.
Physician's Profile
Full Name | Lisa Wilson |
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Gender | Female |
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Speciality | Radiology - Diagnostic Ultrasound |
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Location | 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043718471
- Provider Enumeration Date: 01/31/2018
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Lisa Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043718471 | NPI | - | NPPES |
58124 | Other | GA | REGISTRY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085U0001X | Radiology - Diagnostic Ultrasound | 58124 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Wilson, 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, GA 30047-6870 Ph: (470) 545-2131 | Lisa Wilson, 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, GA 30047-6870 Ph: (470) 545-2131 |
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