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Individual

MS. COURTNEY ELIZABETH LISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1920 SLAUGHTER RD, MADISON, AL 35758-8619
(256) 830-2095
Mailing address
828 HARRISBURG DR SE, HUNTSVILLE, AL 35802-3214
(256) 800-9950

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0006567
AL

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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