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Individual

MS. LISA LYNN LANG RIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1155 WITTMAN DRIVE, MENASHA, WI 54952
(920) 722-4711
(920) 722-0972
Mailing address
1155 WITTMAN DRIVE, MENASHA, WI 54952
(920) 722-4711
(920) 722-0972

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4604015
WI

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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