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Individual

ANN LEPISTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1550 W QUINCY ST, HANCOCK, MI 49930-1223
(906) 482-3621
(906) 482-3676
Mailing address
PO BOX 150, HANCOCK, MI 49930-0150
(906) 482-3621
(906) 482-3676

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902009569
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202094369
DENTAL
MI
Enumeration date
02/08/2018
Last updated
02/08/2018
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