Individual
LISA GAYLE LOPATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2265 LIVERNOIS, SUITE 406, TROY, MI 48083
(248) 362-5055
(248) 362-5056
Mailing address
2265 LIVERNOIS, SUITE 406, TROY, MI 48083
(248) 362-5055
(248) 362-5056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13776
MI
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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