Johnson, Lisa Mari

Johnson, Lisa Mari is an individual health care provider with primary practice located at 1015 Nw 4Th St , Grand Rapids MN 55744. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Johnson, Lisa Mari can be contacted via phone (218) 326-0339.

Contact Information

Primary practice address
1015 Nw 4Th St Grand Rapids MN 55744
Phone: (218) 326-0339
Fax: (218) 326-6210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11285 Minnesota

Profile Details

NPI number 1730242215
LBN Legal business name Johnson, Lisa Mari
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
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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