Individual
LISA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2316 S CEDAR ST, LANSING, MI 48910-3152
(517) 887-4302
(517) 887-4437
Mailing address
PO BOX 30161, LANSING, MI 48909-7661
(517) 887-4302
(517) 887-4437
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902013502
MI
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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