Individual provider · Type 1 NPI

Lisa Gabrius Fortunato

General Practice Dentistry · Racine, WI

NPI number 1275699738 Active

About NPI 1275699738

Lisa Gabrius Fortunato's National Provider Identifier is 1275699738, issued on Dec 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Racine, WI. The record was last updated on Jul 8, 2007.