Cooper, Lisa Marie

Cooper, Lisa Marie is an sole proprietor health care provider with primary practice located at 613 E Texas St , Grapevine TX 76051-3603. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Cooper, Lisa Marie can be contacted via phone (214) 435-4501.

Contact Information

Primary practice address
613 E Texas St Grapevine TX 76051-3603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4457 Texas

Profile Details

NPI number 1558730804
LBN Legal business name Cooper, Lisa Marie
Credentials RDH,BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 10 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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