Tracey Lee Lysander, DDS

NPI #1306918487 in Poway, California

Provider Information

NPI Number
1306918487
Entity Type
Individual
Name
Tracey Lee Lysander, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
15835 POMERADO RD STE 403
City
Poway
ZIP Code
92064-2043
Phone
(858) 451-8321

Specialties & Taxonomy Codes

Specialty
Dentist

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