National Provider Identifier
Lisa M Tyra-Herrick, RDH
Lisa M Tyra-Herrick, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Rushville, NY and a listed phone number of (585) 554-4400.
Profile Overview
- NPI
- 1023344496
- Provider Type
- Individual
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- October 20, 2009
- Last Updated
- October 20, 2009
Practice Location
- 2 Rubin Dr
- Rushville, NY 14544-9681
Phone: (585) 554-4400
Specialties
- Dental Hygienist (124Q00000X)
Full Record
- NPI
- 1023344496
- Entity Type
- Individual
- Last Name
- Tyra-Herrick
- First Name
- Lisa
- Middle Name
- M
- Credential
- RDH
- Mailing Street Address
- 2 Rubin Dr
- Mailing City
- Rushville
- Mailing State
- NY
- Mailing ZIP Code
- 14544-9681
- Mailing Country
- US
- Mailing Phone
- (585) 554-4400
- Practice Street Address
- 2 Rubin Dr
- Practice City
- Rushville
- Practice State
- NY
- Practice ZIP Code
- 14544-9681
- Practice Country
- US
- Practice Phone
- (585) 554-4400
- Enumeration Date
- October 20, 2009
- Last Updated
- October 20, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Hygienist (124Q00000X)
- Other Identifiers
- 00618199 (NY)