Individual
DR. MARK COOKE LYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
225 HANSEN ST., DENMARK, WI 54208-0608
(920) 863-2323
Mailing address
16611 HWY. R, MARIBEL, WI 54227-9752
(920) 863-2324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2774
WI
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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