Provider Demographics
NPI:1740283746
Name:HOWARD, LISA PETER (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:PETER
Last Name:HOWARD
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:306 US ROUTE 1
Mailing Address - Street 2:STE D1
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7640
Mailing Address - Country:US
Mailing Address - Phone:207-885-1005
Mailing Address - Fax:207-510-6131
Practice Address - Street 1:306 US ROUTE 1
Practice Address - Street 2:STE D1
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7640
Practice Address - Country:US
Practice Address - Phone:207-885-1005
Practice Address - Fax:207-510-6131
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME35341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics