Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LORELEI LYNNE GRISE', D.D.S.
ActiveDR. LORELEI LYNNE GRISE', D.D.S. is a Periodontology healthcare provider located in ANTIOCH, Illinois. NPI 1003939992 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ANTIOCH, IL
Registration Details
- NPI Number
- 1003939992
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2007 (19.345525734266 yrs)
- Last Updated
- Apr 9, 2024
- Licenses
-
019022485 (IL)021001648 (IL)
Practice Information
- Address
-
439 LAKE STANTIOCH, IL, 600021472Browse IL providers · Browse ZIP 60002
- Phone
- 8473953250
- Fax
- 8473954045
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.