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Individual
MRS. LISA RENEE TRIPLETT-SHORT
Active
Individual
MRS. LISA RENEE TRIPLETT-SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6526
KY
1223G0001X
General Practice Dentistry
Primary
6526
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45607678
—
KY
05
—
60065265
—
KY
Enumeration date
01/16/2007
Last updated
11/02/2011
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