Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1994
NPI: 1346293438
Practice Locations (2)
LAKE SHORE RETINA, SC CORP
1208 GAY ST
DANDRIDGE, TN 377254720
8654849948
PO BOX, SUITE 1751
DANDRIDGE, TN 37725
Source: CMS National Downloadable File, September 2026.