MR. Brian Lisi, LDO, ABOC, NCLEC
NPI #1306712005 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1306712005
- Entity Type
- Individual
- Name
- MR. Brian Lisi, LDO, ABOC, NCLEC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO, ABOC, NCLEC
- Enumeration Date
- Oct 11, 2025
- Last Updated
- Oct 11, 2025
Practice Location
- Address
- 3040 BATTLEFIELD PKWY
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-4004
- Phone
- (706) 861-5622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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