IndividualActive
Lawrence Liesen, DDS
NPI 1881789287 · General Practice Dentistry · St. Charles, IL
Provider details
- NPI number
- 1881789287
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
6n182 Sunset Dr.
St. Charles, IL 60175
Phone: (630) 443-0480
Approximate (ZIP-level) locationGet directions
Mailing address
6n182 Sunset Dr.
St. Charles, IL 60175
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.