Lisa Vang

NPI #1760972814 in Hayward, Wisconsin

Provider Information

NPI Number: 1760972814
Entity Type: Individual
Name: Lisa Vang
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: May 15, 2018
Last Updated: May 15, 2018

Practice Location

Address: 15954 RIVERS EDGE DR
City: Hayward
State: Wisconsin
ZIP Code: 54843-7800
Phone: (715) 634-2541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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