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LISA GARDISSER

Computed Tomography >> Radiologic Technologist >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1801297189

Individual Registrant:
 LISA  GARDISSER 
Gender: F
Sole Proprietor

Location and contact information for practice:
2646 HWY 56 E  LYONS, GA 30436-4358 US
Tel: 912-293-0056  Fax: --

Contact information for business:
2646 HWY 56 E  LYONS, GA 30436-4358 US
Tel: 912-293-0056  Fax: --

Registration Information:
NPI: 1801297189
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2471C3401XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
Computed Tomography

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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