DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LAWRENCE F BRACK III, M.D.

Active Sole Proprietor

Ophthalmology · LITHONIA, GA

Registration Details

NPI Number
1265441315
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2006 (19.722734439345 yrs)
Last Updated
Jun 13, 2014
License
047403 (GA)
Sole Proprietor
Yes

Practice Information

Address
5900 HILLANDALE DR
SUITE 345
LITHONIA, GA, 300583802
Browse GA providers · Browse ZIP 30058
Phone
7709870733
Fax
7709873978
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in LITHONIA, GA

Name Credential NPI
MR. CLIFFORD R SEWARD M.D. 1982673851
DR. ELLEN BROWNE MITCHELL MD 1073781464
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.