LISA LICHTIE

CASHTON, WI
NPI1700134798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  5299-16)
Enumeration Date2012-08-22
Last Update Date2012-08-22
Business Address
LISA LICHTIE RDH
238 FRONT ST
CASHTON, WI 54619-2002
Phone number: 608-654-5100
Mailing Address
LISA LICHTIE RDH
509 LEE DR
WEST SALEM, WI 54669-1924
Phone number: 608-780-3013