Lisa Costello, DENTAL HYGIENIST

NPI 1760855225 · on the registry since 2015 · sole proprietor

Practice

Address: 326 N. Ferry St
Grand Haven, MI 49417
Phone: (616) 846-2701
Fax: (616) 246-8009
Organisation at this address: Love Inc Of The Tri-Cities
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan