Individual
DR. LISA ANN CIUCCI O'GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1216 N DIVISION ST, MORRIS, IL 60450
(815) 941-4343
(815) 942-8414
Mailing address
1216 N DIVISION ST, MORRIS, IL 60450
(815) 941-4343
(815) 942-8414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023659
IL
Other
Enumeration date
11/07/2007
Last updated
08/04/2008
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