DR. Ryan Lisann

NPI #1427668029 in Somerville, Massachusetts

Provider Information

NPI Number: 1427668029
Entity Type: Individual
Name: DR. Ryan Lisann
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Aug 7, 2020
Last Updated: Aug 7, 2020

Practice Location

Address: 474 BROADWAY APT 110
City: Somerville
State: Massachusetts
ZIP Code: 02145-2630
Phone: (617) 623-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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