DR. Meron Fantahun, OD

NPI #1245959683 in Lilburn, Georgia

Provider Information

NPI Number: 1245959683
Entity Type: Individual
Name: DR. Meron Fantahun, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 26, 2022
Last Updated: Sep 17, 2022

Practice Location

Address: 4153 LAWRENCEVILLE HWY NW STE 5
City: Lilburn
State: Georgia
ZIP Code: 30047-2854
Phone: (770) 921-4707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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