Lmg INC

NPI #1790224491 in Waukesha, Wisconsin

Provider Information

NPI Number
1790224491
Entity Type
Organization
Organization Name
Lmg INC
Subpart
Yes (part of a larger organization)
Parent Organization
LMG INC
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
Feb 15, 2017
Last Updated
Feb 15, 2017

Practice Location

Address
2727 N GRANDVIEW BLVD
Address 2
SUITE 100
ZIP Code
53188-6100
Phone
(262) 547-9422

Authorized Official

Name
JAY L MACKMAN, D
Title
OWNER-DIRECTOR
Phone
(414) 476-9400

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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