Goslak, Lisa

Goslak, Lisa is an individual health care provider with primary practice located at 1800 Galleria Blvd Ste 2321 , Franklin TN 37067-1694. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Goslak, Lisa can be contacted via phone (615) 771-7382.

Contact Information

Primary practice address
1800 Galleria Blvd Ste 2321 Franklin TN 37067-1694
Phone: (615) 771-7382
Fax: (615) 771-7295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1761 Tennessee

Profile Details

NPI number 1073678595
LBN Legal business name Goslak, Lisa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Oct 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073678595 NPPES
Tennessee MEDICAID 3941218

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