Russo, Lisa Dawn
Russo, Lisa Dawn is an sole proprietor health care provider with primary practice located at 2855 E Blackhawk Ct , Gilbert AZ 85298-1003. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Russo, Lisa Dawn can be contacted via phone (480) 302-1806.Contact Information
Primary practice address
2855 E Blackhawk Ct
Gilbert AZ 85298-1003
Phone: (480) 302-1806
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H06294 | Arizona |
Profile Details
| NPI number | 1134786726 |
|---|---|
| LBN Legal business name | Russo, Lisa Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2019 |
| Last updated | May 20th, 2019 - about 6 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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