Wu, Lisa G

Wu, Lisa G is an individual health care provider with primary practice located at 57950 Leavenworth St Bldg 250 , Mcconnell Afb KS 67221-3505. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is her primary health care specialty. Wu, Lisa G can be contacted via phone (316) 759-6300.

Contact Information

Primary practice address
57950 Leavenworth St Bldg 250 Mcconnell Afb KS 67221-3505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 25146 California
Dental Providers / Dentist 122300000X 64929 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D14112 Minnesota

Profile Details

NPI number 1700191202
LBN Legal business name Wu, Lisa G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2010
Last updated Jun 12th, 2024 - about last year

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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