Individual
MRS. LISA SWISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
217 NE FRANKLIN ST, LAKE CITY, FL 32055-2981
(386) 752-9914
(386) 758-2180
Mailing address
142 SW MACKINAW WAY, LAKE CITY, FL 32025-0480
(386) 752-9914
(386) 758-2180
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH11806
FL
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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