Otoude, Lisa Rae
Otoude, Lisa Rae is an individual health care provider with primary practice located at 275 N Nc 16 Business Hwy Ste 204B , Denver NC 28037-3000. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Otoude, Lisa Rae can be contacted via phone (704) 275-5556.Contact Information
Primary practice address
275 N Nc 16 Business Hwy Ste 204B
Denver NC 28037-3000
Phone: (704) 275-5556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10960 | North Carolina |
| Dental Providers / General Practice | 1223G0001X | 32631 | Texas |
Profile Details
| NPI number | 1124432349 |
|---|---|
| LBN Legal business name | Otoude, Lisa Rae |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2014 |
| Last updated | Jun 17th, 2024 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124432349 | NPPES |
| South Carolina | MEDICAID | ZX9605 |
Popular Providers
-
Pernell, Andrew
275 N Nc 16 Business Hwy Ste 101 , Denver NC 28037-3000 -
Jones, Gary S.
6135 Hwy. 16, South , Denver NC 28037 -
Wolff, Alyssa
7476 Waterside Loop Rd Ste 100 , Denver NC 28037-7680 -
Carson, Daniel Owen
510 N Highway 16 , Denver NC 28037-8245 -
Duran, Daniel A.
2974 N Main St , Las Cruces NM 88001-1152 -
Avason, Frank
7476 Waterside Loop Rd Suite 100, Denver NC 28037-7593 -
Nagel, Scott
4893 River Hills Dr , Denver NC 28037-8498 -
Vick, Michael
2226 N Nc 16 Business Hwy , Denver NC 28037-8254