Lisa Vickery

NPI #1336660455 in Monroe, Georgia

Provider Information

NPI Number
1336660455
Entity Type
Individual
Name
Lisa Vickery
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Enumeration Date
Jun 28, 2017
Last Updated
Jun 28, 2017

Practice Location

Address
321 WOODLAND RD
City
Monroe
State
Georgia
ZIP Code
30655-2021
Phone
(770) 267-3918

Specialties & Taxonomy Codes

Specialty
Family Medicine

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