Individual
LISA MARGARET RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4620 HAMPTON AVE, SAINT LOUIS, MO 63109-2714
(314) 725-6952
Mailing address
4620 HAMPTON AVE, SAINT LOUIS, MO 63109-2714
(314) 752-7468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2026023635
MO
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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