Individual
LISA ANNERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12341 HERITAGE MEADOWS DR, PLAINFIELD, IL 60585-6176
(630) 542-2806
Mailing address
12341 HERITAGE MEADOWS DR, PLAINFIELD, IL 60585-6176
(630) 542-2806
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.012196
IL
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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