Antonelli, Lisa Anne

Antonelli, Lisa Anne is an individual health care provider with primary practice located at 330 Plantation Street , Worcester MA 01604. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Antonelli, Lisa Anne can be contacted via phone (508) 753-1911.

Contact Information

Primary practice address
330 Plantation Street Worcester MA 01604
Phone: (508) 753-1911
Fax: (508) 753-1837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 16204 Massachusetts

Profile Details

NPI number 1093892390
LBN Legal business name Antonelli, Lisa Anne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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.

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