LISA M CZARNECKI

PRAIRIE DU SAC, WI
NPI1033198775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  4469-016)
Enumeration Date2006-01-11
Last Update Date2007-07-08
Business Address
-- LISA M CZARNECKI R.D.H.
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578-2041
Phone number: 608-643-8505
Mailing Address
-- LISA M CZARNECKI R.D.H.
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578-2041
Phone number: 608-643-8505