Individual provider · Type 1 NPI

Lawrence John Liesen I, DDS

General Practice Dentistry · St. Charles, IL

NPI number 1881789287 Active

About NPI 1881789287

Lawrence John Liesen I, DDS's National Provider Identifier is 1881789287, issued on Oct 3, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Charles, IL. The record was last updated on Jul 8, 2007.