Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYLLLIS ALLEN
ActivePHYLLLIS ALLEN is a Optician, Dispensing healthcare provider located in LAGRANGE, Georgia. NPI 1104614973 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LAGRANGE, GA
Registration Details
- NPI Number
- 1104614973
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2025 (1.3095571404928 yrs)
- Last Updated
- Apr 30, 2025
- License
-
LDO003061 (GA)
Practice Information
- Address
-
803 NEW FRANKLIN RDLAGRANGE, GA, 302401827Browse GA providers · Browse ZIP 30240
- Phone
- 7063026642
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.