Power, Lisa

Power, Lisa is an individual health care provider with primary practice located at 8980 Hudson Blvd N , Lake Elmo MN 55042-9704. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Power, Lisa can be contacted via phone (651) 735-9057.

Contact Information

Primary practice address
8980 Hudson Blvd N Lake Elmo MN 55042-9704
Phone: (651) 735-9057
Fax: (651) 290-9210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12280 Minnesota

Profile Details

NPI number 1477692226
LBN Legal business name Power, Lisa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Nov 14th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477692226 NPPES
Minnesota MEDICAID 946428000

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