Provider Demographics
NPI:1972565794
Name:FRANKLIN, LISA ALICE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ALICE
Last Name:FRANKLIN
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Gender:F
Credentials:DDS
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Mailing Address - Street 1:8901 WISCONSIN AVENUE
Mailing Address - Street 2:ORAL AND MAXILLOFACIAL PATHOLOGY DEPT.
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-0404
Mailing Address - Fax:301-295-1216
Practice Address - Street 1:8901 WISCONSIN AVENUE
Practice Address - Street 2:ORAL AND MAXILLOFACIAL PATHOLOGY DEPT.
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-0404
Practice Address - Fax:301-295-1216
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX163451223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16345OtherSTATE DENTAL LICENSE