Individual
DR. LISA KATHLEEN AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6939 PINE ARBOR DR S, SUITE A104, COTTAGE GROVE, MN 55016-4580
(651) 459-3514
Mailing address
6939 PINE ARBOR DR S, SUITE A104, COTTAGE GROVE, MN 55016-4580
(651) 459-3514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12460
MN
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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