MEDICARE: LISA B. SCHULMAN, D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	2638	NH

General Provider Information

NPI Number	:	1265657357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISA B. SCHULMAN, D.D.S.

Provider Business Mailing Address
First Line	:	200 GRIFFIN RD.
Second Line	:	SUITE 9
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7145
Country	:	US
Telephone Number	:	603-436-2951
Fax Number	:	603-433-9550

Provider Business Practice Location Address
First Line	:	200 GRIFFIN RD
Second Line	:	SUITE 9
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7145
Country	:	US
Telephone Number	:	603-436-2951
Fax Number	:	603-433-9550

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. LISA BETH SCHULMAN
Credential	:	D.D.S.
Telephone Number	:	603-436-2951

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/21/2008

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