Ravenel, Lisa S

Ravenel, Lisa S is an sole proprietor health care provider with primary practice located at 1130 E Butler Rd , Greenville SC 29607-5908. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Ravenel, Lisa S can be contacted via phone (864) 987-9700.

Contact Information

Primary practice address
1130 E Butler Rd Greenville SC 29607-5908
Phone: (864) 987-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3710 South Carolina

Profile Details

NPI number 1891703419
LBN Legal business name Ravenel, Lisa S
Credentials DMD, MHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 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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