| NPI | 1396736682 |
|---|---|
| Former Name | LISA MCCAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15047) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN15047) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2023-04-14 |