Chang, Lisa

Chang, Lisa is an individual health care provider with primary practice located at 2290 Delaware Ave Ste 300 , Buffalo NY 14216-2632. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Chang, Lisa can be contacted via phone (716) 321-0629.

Contact Information

Primary practice address
2290 Delaware Ave Ste 300 Buffalo NY 14216-2632
Phone: (716) 321-0629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 058763-1 New York

Profile Details

NPI number 1811379019
LBN Legal business name Chang, Lisa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Jul 27th, 2026 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811379019 NPPES
New York MEDICAID 04575077

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