Individual
DR. LISA J. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7247 DELMAR BLVD, SAINT LOUIS, MO 63130-4105
(314) 727-1319
Mailing address
7247 DELMAR BLVD, SAINT LOUIS, MO 63130-4105
(314) 727-1319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001022020
MO
Other
Enumeration date
10/23/2006
Last updated
06/15/2010
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