LISA L PRIVETT

Dr LISA L PRIVETT is a female medical professional, specializing in Optometry. She graduated in 1993 from Southern College Of Optometry.

Contact

135 S BELLS ST
ALAMO
TN
380011779

Tel: 7316964004

LISA L PRIVETT Information

Npi 1992754295
Pac Id 6608925672
Professional Enrollment Id I20090521000360
Last Name PRIVETT
First Name LISA
Middle Name L
Suffix
Gender F
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1993
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 135 S BELLS ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALAMO
State TN
Zip Code 380011779
Phone Number 7316964004
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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