Individual
LESA M ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
705 RILEY HOSPITAL DR STE 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-9604
Mailing address
50 N ILLINOIS ST APT 624, INDIANAPOLIS, IN 46204-2858
(317) 627-1755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011836A
IN
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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