Lloyd Wade Lariscy in Dearborn - Periodontics

Lloyd Wade Lariscy - NPI 1578655809

Lloyd Wade Lariscy is a Periodontics in Dearborn, Michigan. Lloyd Wade Lariscy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Lloyd Wade Lariscy is 1578655809. The last update date is 2007-07-08.

Lloyd Wade Lariscy's current location address is 24924 Michigan Ave, Dearborn, Michigan. You can contact this provider via phone number 3132748522 and fax number 3132745396. The mailing address for Lloyd Wade Lariscy is 24924 Michigan Ave, Dearborn, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Lloyd Wade Lariscy
Address 24924 Michigan Ave, Dearborn, Michigan
Phone Number 3132748522
Fax Number 3132745396
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1578655809
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 24924 Michigan Ave
City Dearborn
State Michigan (MI)
Post Code 481241740
Phone Number 3132748522
Fax Number 3132745396

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 13287
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Lloyd Wade Lariscy

What is the unique 10-digit identification code issued to Lloyd Wade Lariscy by the Centers for Medicare & Medicaid Services?

The Lloyd Wade Lariscy has been assigned the NPI (National Provider Identifier) 1578655809 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Lloyd Wade Lariscy is physically located?

The Lloyd Wade Lariscy is physically situated at the following address: 24924 Michigan Ave, Dearborn, MI, 481241740.

What is Lloyd Wade Lariscy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lloyd Wade Lariscy's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1578655809 to Lloyd Wade Lariscy?

The Centers for Medicare & Medicaid Services assigned the 1578655809 to Lloyd Wade Lariscy on 2006-09-28.

When was the Lloyd Wade Lariscy's information last updated?

The Lloyd Wade Lariscy's information was last updated on 2007-07-08.

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