LAWRENCE JOHN LIESEN

ST. CHARLES, IL
NPI1881789287
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019021141)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE JOHN LIESEN DDs
6N182 SUNSET DR.
ST. CHARLES, IL 60175
Phone number: 630-443-0480
Mailing Address
Dr. LAWRENCE JOHN LIESEN DDs
6N182 SUNSET DR.
ST. CHARLES, IL 60175
Phone number: 630-443-0480