Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ECCLESIA LUCIANA GRANT, LDO
Active Sole ProprietorMRS. ECCLESIA LUCIANA GRANT, LDO is a Optician, Dispensing healthcare provider located in COLLEGE PARK, Georgia. NPI 1437476868 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · COLLEGE PARK, GA
Registration Details
- NPI Number
- 1437476868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2010 (16.279530559723 yrs)
- Last Updated
- May 13, 2010
- License
-
LDO 002273 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5534 OLD NATIONAL HWYSUITES 100-BCOLLEGE PARK, GA, 303493212Browse GA providers · Browse ZIP 30349
- Phone
- 4044321772
- Fax
- 4048905574
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in COLLEGE PARK, GA
| Name | Credential | NPI |
|---|---|---|
| MS. LAKISHA HARRIS | LDO | 1275306094 |
| MS. DEBORA ELAINE TURNER | — | 1578327151 |
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.