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
Phone: (316) 759-6300
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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