Individual
LISA MARIE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1015 E 16TH ST, WELLINGTON, KS 67152-2812
(620) 326-5751
(620) 399-8917
Mailing address
1015 E 16TH ST, WELLINGTON, KS 67152-2812
(620) 326-5751
(620) 399-8917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61022
KS
Other
Enumeration date
01/16/2013
Last updated
11/07/2024
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