Jacqueline Lee Light, LDO
NPI #1518725407 in Loganville, Georgia
Provider Information
- NPI Number
- 1518725407
- Entity Type
- Individual
- Name
- Jacqueline Lee Light, LDO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO
- Enumeration Date
- Mar 6, 2024
- Last Updated
- Mar 6, 2024
Practice Location
- Address
- 4221 ATLANTA HWY
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-7316
- Phone
- (770) 554-3360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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