MEDICARE: DR. LISA SCHWARTZ PAPSIN D.M.D.

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	1223G0001X	General Practice Dentistry	2901019650	MI

General Provider Information

NPI Number	:	1386834802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA SCHWARTZ PAPSIN D.M.D.

Provider Business Mailing Address
First Line	:	1000 W UNIVERSITY DR STE 316
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1876
Country	:	US
Telephone Number	:	248-651-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W UNIVERSITY DR STE 316
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-1876
Country	:	US
Telephone Number	:	248-651-0707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	05/18/2015

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