DR. Lisa A. Wyatt, O.D.

NPI #1043370547 in Tucker, Georgia

Provider Information

NPI Number
1043370547
Entity Type
Individual
Name
DR. Lisa A. Wyatt, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4104 LA VISTA RD.
City
Tucker
State
Georgia
ZIP Code
30084
Phone
(770) 493-6490

Specialties & Taxonomy Codes

Specialty
Optometrist

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