Wadsworth, Lisa Ely

Wadsworth, Lisa Ely is an sole proprietor health care provider with primary practice located at 13940 N Us Highway 441 Suite 602, Lady Lake FL 32159-8908. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wadsworth, Lisa Ely can be contacted via phone (352) 750-0008.

Contact Information

Primary practice address
13940 N Us Highway 441 Suite 602 Lady Lake FL 32159-8908
Phone: (352) 750-0008
Fax: (352) 259-9145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0013864 Florida

Profile Details

NPI number 1508070707
LBN Legal business name Wadsworth, Lisa Ely
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
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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