MRS. Lisa Ann Harwell

NPI #1942759501 in Ft Gordon, Georgia

Provider Information

NPI Number: 1942759501
Entity Type: Individual
Name: MRS. Lisa Ann Harwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Sep 23, 2016
Last Updated: Sep 26, 2016

Practice Location

Address: BLDG 38801 ACADEMIC DR
Address 2: SUITE B & C
City: Ft Gordon
State: Georgia
ZIP Code: 30905-5660
Phone: (706) 787-6927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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