Domeyer, Lisa

Domeyer, Lisa is an individual health care provider with primary practice located at 11441 Osage St Nw , Coon Rapids MN 55433-3677. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Domeyer, Lisa can be contacted via phone (763) 757-6600.

Contact Information

Primary practice address
11441 Osage St Nw Coon Rapids MN 55433-3677
Phone: (763) 757-6600
Fax: (763) 757-6600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11624 Minnesota

Profile Details

NPI number 1134271406
LBN Legal business name Domeyer, Lisa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 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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