Deangelis, Lisa

Deangelis, Lisa is an individual health care provider with primary practice located at 1390 Montreal Rd , Tucker GA 30084-8143. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Deangelis, Lisa can be contacted via phone (770) 934-9700.

Contact Information

Primary practice address
1390 Montreal Rd Tucker GA 30084-8143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11096 Georgia

Profile Details

NPI number 1548310329
LBN Legal business name Deangelis, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
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.

Request for update

Popular Providers