Lawrence John Liesen I, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

6N182 Sunset Dr.
St. Charles, IL 60175

Phone

(630) 443-0480

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881789287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6N182 SUNSET DR.",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-443-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6N182 SUNSET DR.",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-443-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIESEN",
        "first_name": "LAWRENCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Levinsky, PSY.D.
• Taylor Levitt
• Jennifer L Lew, MD
• Elizabeth Lewis, PHARMD
• Christine Ann Lichosyt, MOT, OTR/L
• Life Journeys Counseling Inc.
• Lighthouse Behavioral Health, LLC
• Lighthouse Family Chiropractic, LTD
• Lighthouse Recovery
• Lighthouse Recovery

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.