Individual
DR. LISA A CAGLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
108 NORTHPORT DR, LOWER LEVEL EAST, ALTON, IL 62002-5904
(618) 466-5150
Mailing address
108 NORTHPORT DR, LOWER LEVEL EAST, ALTON, IL 62002-5904
(618) 466-5150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
IL
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
10/11/2005
Last updated
09/11/2025
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