DR. Lisa Anderson, DDS

NPI #1659722940 in Jackson, Wyoming

Provider Information

NPI Number: 1659722940
Entity Type: Individual
Name: DR. Lisa Anderson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 28, 2016
Last Updated: Jun 28, 2024

Practice Location

Address: 945 W BROADWAY AVE APT 201
City: Jackson
State: Wyoming
ZIP Code: 83001-8217
Phone: (307) 734-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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