Individual
DR. LORELEI LYNNE GRISE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
439 LAKE ST, ANTIOCH, IL 60002-1472
(847) 395-3250
(847) 395-4045
Mailing address
848 S BRISTOL LN, ARLINGTON HEIGHTS, IL 60005-2728
(847) 797-1832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019022485
IL
1223P0300X
Periodontics
Primary
021001648
IL
Other
Enumeration date
04/07/2007
Last updated
04/09/2024
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