IndividualActive
Lisa Wilson
NPI 1043718471 · Diagnostic Ultrasound Physician · Lilburn, GA
Provider details
- NPI number
- 1043718471
- Entity type
- Individual
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 58124 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
950 Indian Trail Lilburn Rd Nw Ste 5d
Lilburn, GA 30047-6870
Phone: (470) 545-2131
Approximate (ZIP-level) locationGet directions
Mailing address
950 Indian Trail Lilburn Rd Nw Ste 5d
Lilburn, GA 30047-6870
Registry dates
- Enumerated
- 2018-01-31
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.