Provider Demographics
NPI:1174663082
Name:SCHULMAN, LISA BETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:BETH
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GRIFFIN ROAD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-436-2951
Mailing Address - Fax:603-433-9550
Practice Address - Street 1:200 GRIFFIN ROAD
Practice Address - Street 2:SUITE 9
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-436-2951
Practice Address - Fax:603-433-9550
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2638122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist