Lawrence F. Brack III, M.D.

Ophthalmology Physician · Lithonia, GA

Individual Active NPI

NPI number 1265441315

Practice location

5900 Hillandale Dr
Suite 345
Lithonia, GA 30058-3802
Phone
(770) 987-0733
Fax
(770) 987-3978

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NPI record

NPI
1265441315
Entity type
Individual (Type 1)
Enumeration date
August 7, 2006
Last updated
June 13, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Ophthalmology Physician Primary 207W00000X 047403 GA

About Dr. Brack

Lawrence F. Brack III, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Ophthalmology Physician (code 207W00000X). The practice location is 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802. The NPI number 1265441315 was assigned on August 7, 2006 and the record was last updated on June 13, 2014.

Dr. Brack lists a license in the registry: #047403 (GA) for Ophthalmology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lawrence F. Brack III, M.D.?

The NPI number is 1265441315.

What is the phone number of Dr. Brack?

The phone number listed for the practice location is (770) 987-0733.

Where is Dr. Brack located?

5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802.

What is the taxonomy code for Dr. Brack?

The primary taxonomy code is 207W00000X – Ophthalmology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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