Lisa M Tyra-Herrick, RDH

NPI #1023344496 in Rushville, New York

Provider Information

NPI Number: 1023344496
Entity Type: Individual
Name: Lisa M Tyra-Herrick, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 20, 2009
Last Updated: Oct 20, 2009

Practice Location

Address: 2 RUBIN DR
City: Rushville
State: New York
ZIP Code: 14544-9681
Phone: (585) 554-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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