Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Lisa Dawn Russo

Individual provider Dental Hygienist · NPI 1134786726

Mrs. Lisa Dawn Russo is a Dental Hygienist in Gilbert, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019

Practice location Address checks out

2855 E Blackhawk Ct
Gilbert, AZ 85298-1003
Phone: (480) 302-1806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence H06294 (AZ)

Record details

NPI number1134786726
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019

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