Individual
DR. LISBETH W POAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
500 PHYSICIANS LN, SUMTER, SC 29150-3370
(803) 775-4793
(803) 934-9943
Mailing address
500 PHYSICIANS LN, SUMTER, SC 29150-3370
(803) 775-4793
(803) 934-9943
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3503-0509PD
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z35034
—
SC
Enumeration date
05/18/2006
Last updated
07/09/2012
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