LISA GOMEZ

WOODSTOCK, GA
NPI1205229671
Former NameLISA WAUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  RN097624)
Enumeration Date2015-03-10
Last Update Date2019-08-07
Business Address
LISA GOMEZ AGACNP
4296 MOCCASIN TRL
WOODSTOCK, GA 30189-4867
Phone number: 042-934-4286
Mailing Address
LISA GOMEZ AGACNP
4296 MOCCASIN TRL
WOODSTOCK, GA 30189-4867
Phone number: 404-293-4286