LISA MARIE TAYLOR

KENOSHA, WI
NPI1487396628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  1003804-16)
Enumeration Date2022-04-08
Last Update Date2022-04-08
Business Address
LISA MARIE TAYLOR RDH
6226 14TH AVE
KENOSHA, WI 53143-4413
Phone number: 262-656-0044
Mailing Address
LISA MARIE TAYLOR RDH
2123 89TH PL
KENOSHA, WI 53143-6705
Phone number: 706-273-1365