Gabrius Fortunato, Lisa

Gabrius Fortunato, Lisa is an individual health care provider with primary practice located at 6218 Washington Ave Suite C, Racine WI 53406-3916. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gabrius Fortunato, Lisa can be contacted via phone (262) 886-1300.

Contact Information

Primary practice address
6218 Washington Ave Suite C Racine WI 53406-3916
Fax: (262) 886-1837
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5427 Wisconsin

Profile Details

NPI number 1275699738
LBN Legal business name Gabrius Fortunato, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 18 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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