Individual
DR. LISA K LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
HIGHWAY 491 S, SHIPROCK, NM 87420
(805) 372-9729
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(805) 372-9729
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD22027
NM
1223G0001X
General Practice Dentistry
26101
TX
Other
Enumeration date
11/24/2010
Last updated
08/28/2023
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