| Lisa Prevention | |
|
2021 Peachtree Street Suite 100 Atlanta GA 30309 | |
| (404) 918-6632 | |
| (833) 488-1894 |
| Full Name | Lisa Prevention |
|---|---|
| Speciality | Clinic/center |
| Location | 2021 Peachtree Street, Atlanta, Georgia |
| Authorized Official Name and Position | Vikash Chiraag Modi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4049186632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Prevention 2021 Peachtree Street Suite 100 Atlanta GA 30309 Ph: (404) 918-6632 | Lisa Prevention 2021 Peachtree Street Suite 100 Atlanta GA 30309 Ph: (404) 918-6632 |
| NPI Number | 1427807759 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427807759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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