Organization
DR LISA BAILEY DDS, APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA C BAILEY DDS (OWNER)
(225) 644-4976
Entity
Organization
Contact information
Practice address
225 W ASCENSION ST, GONZALES, LA 70737-2803
(225) 644-4976
Mailing address
225 W ASCENSION ST, GONZALES, LA 70737-2803
(225) 644-4976
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
1881163
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023163599
—
LA
05
—
1235316217
—
LA
Enumeration date
02/21/2008
Last updated
02/21/2008
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