| Lisa M Ma Dmd, Pllc | |
|
5347 N Socrum Loop Rd Lakeland FL 33809-4256 | |
| (863) 606-5721 | |
| Not Available |
| Full Name | Lisa M Ma Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5347 N Socrum Loop Rd, Lakeland, Florida |
| Authorized Official Name and Position | Lisa M Ma (MEMBER) |
| Authorized Official Contact | 3053352252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Ma Dmd, Pllc 5347 N Socrum Loop Rd Lakeland FL 33809-4256 Ph: (863) 606-5721 | Lisa M Ma Dmd, Pllc 5347 N Socrum Loop Rd Lakeland FL 33809-4256 Ph: (863) 606-5721 |
| NPI Number | 1952928251 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952928251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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