LISA POTTER BULOT

LAWRENCEVILLE, GA
NPI1427840107
Former NameLISA ADALEE POTTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD003543)
Enumeration Date2025-05-20
Last Update Date2025-05-20
Business Address
LISA POTTER BULOT RD
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-4214
Mailing Address
LISA POTTER BULOT RD
2210 LAUREL LAKE DR
SUWANEE, GA 30024-3270
Phone number: 225-301-3981