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1508070707
LISA ELY WADSWORTH
LADY LAKE, FL
NPI
1508070707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 0013864)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Dr. LISA ELY WADSWORTH D.M.D.
13940 N US HIGHWAY 441 SUITE 602
LADY LAKE, FL 32159-8908
Phone number: 352-750-0008
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Mailing Address
Dr. LISA ELY WADSWORTH D.M.D.
13940 N US HIGHWAY 441 SUITE 602
LADY LAKE, FL 32159-8908
Phone number: 352-750-0008
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