LISA M MA

LAKELAND, FL
NPI1649653957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN 21326)
Enumeration Date2015-07-06
Last Update Date2021-08-17
Business Address
LISA M MA DMD
5347 N SOCRUM LOOP RD
LAKELAND, FL 33809-4256
Phone number: 863-606-5721
Mailing Address
LISA M MA DMD
5347 N SOCRUM LOOP RD
LAKELAND, FL 33809-4256
Phone number: 863-606-5721
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