Lisa Elaine Brady, B.A.. P.P.

NPI #1245872290 in Valdosta, Georgia

Provider Information

NPI Number: 1245872290
Entity Type: Individual
Name: Lisa Elaine Brady, B.A.. P.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: B.A.. P.P.
Enumeration Date: Oct 10, 2019
Last Updated: Oct 10, 2019

Practice Location

Address: 743 E ANN ST
City: Valdosta
State: Georgia
ZIP Code: 31601-4114
Phone: (401) 954-1535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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