Amundson, Lisa Kathleen
Amundson, Lisa Kathleen is an individual health care provider with primary practice located at 6939 Pine Arbor Dr S Suite A104, Cottage Grove MN 55016-4580. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Amundson, Lisa Kathleen can be contacted via phone (651) 459-3514.Contact Information
Primary practice address
6939 Pine Arbor Dr S Suite A104
Cottage Grove MN 55016-4580
Phone: (651) 459-3514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D12460 | Minnesota |
Profile Details
| NPI number | 1134317712 |
|---|---|
| LBN Legal business name | Amundson, Lisa Kathleen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Oct 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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