person
Jacqueline Lee Light, LDO
Optician in Loganville, Georgia
NPI 1518725407

Jacqueline Lee Light is a Optician based in Loganville, GA and is specialized in Optician. Jacqueline Lee Light practices in Loganville, GA and has the professional credentials of LDO. The NPI Number for Jacqueline Lee Light is 1518725407 and holds a License No. LDO001807 (Georgia).

The current practice location address for Jacqueline Lee Light is 4221 Atlanta Hwy, Loganville, GA and can be reached out via phone at 770-554-3360 and via fax at 770-554-8954.

Location: 4221 Atlanta Hwy, Loganville, GA, 30052-7316
person
Provider Profile Details
NPI Number
1518725407
Provider Name
Jacqueline Lee Light
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
4221 Atlanta Hwy, Loganville, GA, 30052-7316
Phone Number
770-554-3360
Fax Number
770-554-8954
Provider Enumeration Date
03/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4221 Atlanta Hwy
City
State
Zip
30052-7316
Phone Number
770-554-3360
Fax Number
770-554-8954
person
Provider Business Mailing Address Details
Address
4221 Atlanta Hwy
City
State
Zip
30052-7316
Phone Number
770-554-3360
Fax Number
770-554-8954
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
LDO001807 (Georgia)
Definition
Definition to come...
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