NPI 1144107368
Lisa Autry, ROT
Practice location
- Address
- 1765 Old West Broad St, Athens, GA 30606-2853
- Phone
- (706) 549-1663
- Mailing address
- 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1144107368
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Aug 2025
- Record last updated
- 19 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.