DR. Lawrence F Brack III, M.D.

NPI #1265441315 in Lithonia, Georgia

Provider Information

NPI Number: 1265441315
Entity Type: Individual
Name: DR. Lawrence F Brack III, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Aug 7, 2006
Last Updated: Jun 13, 2014

Practice Location

Address: 5900 HILLANDALE DR
Address 2: SUITE 345
City: Lithonia
State: Georgia
ZIP Code: 30058-3802
Phone: (770) 987-0733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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