Anderson, Lisa

Anderson, Lisa is an individual health care provider with primary practice located at 945 W Broadway Ave Apt 201 , Jackson WY 83001-8217. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Anderson, Lisa can be contacted via phone (307) 734-5200.

Contact Information

Primary practice address
945 W Broadway Ave Apt 201 Jackson WY 83001-8217
Phone: (307) 734-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1630 Wyoming
Dental Providers / Dentist 122300000X D1109 South Dakota

Profile Details

NPI number 1659722940
LBN Legal business name Anderson, Lisa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Jun 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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