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Gloria Lee
Optician in Ringgold, Georgia
NPI 1124146071

Gloria Lee is a Optician based in Ringgold, GA and is specialized in Optician. Gloria Lee practices in Ringgold, GA. The NPI Number for Gloria Lee is 1124146071 and holds a License No. LDO000851 (Georgia).

The current practice location address for Gloria Lee is 192 Lafayette St, Ringgold, GA and can be reached out via phone at 706-965-2020 and via fax at 706-965-2020.

Location: 192 Lafayette St, Ringgold, GA, 30736-2431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124146071
Provider Name
Gloria Lee
Credential
Provider Entity Type
Organization
Address
192 Lafayette St, Ringgold, GA, 30736-2431
Phone Number
706-965-2020
Fax Number
706-965-2020
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
436313544B 05 GA
institution
Provider Business Practice Location Address Details
Address
192 Lafayette St
City
Ringgold
State
Georgia
Zip
30736-2431
Phone Number
706-965-2020
Fax Number
706-965-2020
person
Provider Business Mailing Address Details
Address
192 Lafayette St
City
Ringgold
State
Georgia
Zip
30736-2431
Phone Number
706-965-2020
Fax Number
706-965-2020
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
LDO000851 (Georgia)
Definition
Definition to come...
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