| Lisasommerm.ed.l.p.c. Inc. | |
|
55 Roswell St Alpharetta GA 30004-1929 | |
| (770) 442-0939 | |
| Not Available |
| Full Name | Lisasommerm.ed.l.p.c. Inc. |
|---|---|
| Speciality | Counselor |
| Location | 55 Roswell St, Alpharetta, Georgia |
| Authorized Official Name and Position | Lisa Sommer (OWNER) |
| Authorized Official Contact | 7704420939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisasommerm.ed.l.p.c. Inc. 55 Roswell St Alpharetta GA 30004-1929 Ph: (770) 442-0939 | Lisasommerm.ed.l.p.c. Inc. 55 Roswell St Alpharetta GA 30004-1929 Ph: (770) 442-0939 |
| NPI Number | 1306047949 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306047949 | NPI | - | NPPES |
| 007890 | Other | GA | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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