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NPI Code Detail

MEDICARE: DR. LISA ROWE QUINN DDS

MEDICARE:  DR. LISA ROWE QUINN  DDS
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
11223G0001XGeneral Practice Dentistry29923CA

General Provider Information

NPI Number : 1487767323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA ROWE QUINN DDS
Provider Business Mailing Address
First Line : 6315 N FRESNO ST
Second Line : #106
City : FRESNO
State : CA
Zip : 93710-5273
Country : US
Telephone Number : 559-432-0151
Fax Number :
Provider Business Practice Location Address
First Line : 6315 N FRESNO ST
Second Line : #106
City : FRESNO
State : CA
Zip : 93710-5273
Country : US
Telephone Number : 559-432-0151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LISA ROWE QUINN DDS” Practice Location

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