person
Alta M Lebeck, LDO
Optician in Tifton, Georgia
NPI 1093128050

Alta M Lebeck is a Optician based in Tifton, GA and is specialized in Optician. Alta M Lebeck practices in Tifton, GA and has the professional credentials of LDO. The NPI Number for Alta M Lebeck is 1093128050 and holds a License No. LDO002502 (Georgia).

The current practice location address for Alta M Lebeck is 363 Main St S, Tifton, GA and can be reached out via phone at 229-382-4441 and via fax at 229-386-0211.

Location: 363 Main St S, Tifton, GA, 31794-4813
person
Provider Profile Details
NPI Number
1093128050
Provider Name
Alta M Lebeck
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
363 Main St S, Tifton, GA, 31794-4813
Phone Number
229-382-4441
Fax Number
229-386-0211
Provider Enumeration Date
06/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
363 Main St S
City
State
Zip
31794-4813
Phone Number
229-382-4441
Fax Number
229-386-0211
person
Provider Business Mailing Address Details
Address
363 Main St S
City
State
Zip
31794-4813
Phone Number
229-382-4441
Fax Number
229-386-0211
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO002502 (Georgia)
Definition
Definition to come...
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