Individual
LISA A TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1531 TAMIAMI TRL S STE 701, VENICE, FL 34285-5575
(941) 497-5591
Mailing address
1531 TAMIAMI TRL S STE 701, VENICE, FL 34285-5575
(804) 921-8162
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN24179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN24179
LICENSE
FL
Enumeration date
07/30/2014
Last updated
12/17/2019
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