Individual
LISA ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6 MILLSTONE LN, LINCOLN, MA 01773-4405
(781) 259-9509
Mailing address
6 MILLSTONE LN, LINCOLN, MA 01773-4405
(781) 259-9509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18320
MA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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