Light, Jacqueline Lee
Light, Jacqueline Lee is an individual health care provider with primary practice located at 4221 Atlanta Hwy , Loganville GA 30052-7316. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Light, Jacqueline Lee can be contacted via phone (770) 554-3360.Contact Information
Primary practice address
4221 Atlanta Hwy
Loganville GA 30052-7316
Phone: (770) 554-3360
Fax: (770) 554-8954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | LDO001807 | Georgia |
Profile Details
| NPI number | 1518725407 |
|---|---|
| LBN Legal business name | Light, Jacqueline Lee |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2024 |
| Last updated | Mar 6th, 2024 - about last year |
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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