Provider Demographics
NPI:1427078435
Name:FOX, LISA MEHELICH (DDS)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:MEHELICH
Last Name:FOX
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:9358 DORCHESTER ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2511
Mailing Address - Country:US
Mailing Address - Phone:303-791-4400
Mailing Address - Fax:303-791-6170
Practice Address - Street 1:9358 DORCHESTER ST
Practice Address - Street 2:SUITE 106
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2511
Practice Address - Country:US
Practice Address - Phone:303-791-4400
Practice Address - Fax:303-791-6170
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODEN83301223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry