| Doctor Name: | DR. LISA A VINOKUR |
| NPI Number: | 1023015963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 038394 |
| Business Practice Address: | 3400 Old Milton Pkwy Suite C585 Alpharetta, GA - 300054434 |
| Business Phone Number: | 7707544445 |
| Business Fax Number: | 7707544449 |
| Mailing Address: | 3400 Old Milton Pkwy, Suite C585 ALPHARETTA |
| State: | GA |
| Postal Code: | 300054434 |
| Phone Number: | 7707544445 |
| Fax Number: | 7707544449 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 11/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/21/2006 |
| NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 038394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |