Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA WILSON
ActiveLISA WILSON is a Diagnostic Ultrasound healthcare provider located in LILBURN, Georgia. NPI 1043718471 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Ultrasound · LILBURN, GA
Registration Details
- NPI Number
- 1043718471
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2018 (8.568211047969 yrs)
- Last Updated
- Feb 13, 2024
- License
-
58124 (GA)
Practice Information
- Address
-
950 INDIAN TRAIL LILBURN RD NW STE 5DLILBURN, GA, 300476870Browse GA providers · Browse ZIP 30047
- Phone
- 4705452131
- Primary Specialty
-
Diagnostic Ultrasound
2085U0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.