Search › Georgia › 253Z00000X
Lisa Wilson- Jefferson
NPI 1497124291 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3854 Paper Birch Ln
Lithonia, GA 30038 - Phone
- (678) 480-5054
- Fax
- (888) 884-6471
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 332U00000X
343900000X
385HR2065X - Sex
- Female
- Record last updated
- 2019-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia