Individual
LAURIE ELLEN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2740 W MASON ST, GREEN BAY, WI 54303-4966
(920) 498-5469
(920) 498-6890
Mailing address
121 LITTLE SWISS PL, GREEN BAY, WI 54302-4924
(920) 469-2705
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4904016
WI
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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