Moss, Lisa Diane
Moss, Lisa Diane is an sole proprietor health care provider with primary practice located at 5047 Virginia Ave Bldg 500, Fort Leonard Wood MO 65473-9126. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Moss, Lisa Diane can be contacted via phone (573) 596-0408.Contact Information
Primary practice address
5047 Virginia Ave Bldg 500
Fort Leonard Wood MO 65473-9126
Phone: (573) 596-0408
Fax: (573) 596-0314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2006015980 | Missouri |
Profile Details
| NPI number | 1497105688 |
|---|---|
| LBN Legal business name | Moss, Lisa Diane |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2016 |
| Last updated | Jun 17th, 2016 - about 9 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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