Organization
LISA LENISKI, DDS, MSD, LLC
Active
Other names
Michigan City Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M LENISKI DDS, MSD (OWNER/PRESIDENT)
(219) 879-4559
Entity
Organization
Contact information
Practice address
211 E. 4TH STREET, MICHIGAN CITY, IN 46360-3364
(219) 879-4559
(219) 879-4559
Mailing address
211 MEDICAL PLZ, MICHIGAN CITY, IN 46360-3364
(219) 879-4559
(219) 879-4559
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010935A
IN
Other
Enumeration date
09/18/2014
Last updated
07/06/2016
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