Individual
LINDA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
35252 COUNTY ROAD 3, CROSSLAKE, MN 56442-2804
(218) 692-1522
(218) 692-1524
Mailing address
35252 COUNTY ROAD 3, P.O. BOX 548, CROSSLAKE, MN 56442-2804
(218) 692-1522
(218) 692-1524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MN11237
MN
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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