Lisa Detwiler

NPI #1114799517 in Loveland, Colorado

Provider Information

NPI Number: 1114799517
Entity Type: Individual
Name: Lisa Detwiler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Oct 27, 2023
Last Updated: Oct 27, 2023

Practice Location

Address: 4341 MARTINSON DR
City: Loveland
State: Colorado
ZIP Code: 80537-3222
Phone: (919) 602-1578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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