Bush, Lisa
Bush, Lisa is an individual health care provider with primary practice located at 401 Holly Hills Ave , Saint Louis MO 63111-2410. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bush, Lisa can be contacted via phone (314) 481-1615.Contact Information
Primary practice address
401 Holly Hills Ave
Saint Louis MO 63111-2410
Phone: (314) 481-1615
Fax: (314) 353-1310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 015217 | Missouri |
Profile Details
| NPI number | 1326022856 |
|---|---|
| LBN Legal business name | Bush, Lisa |
| Credentials | DENTIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
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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