Individual
MS. LISA RAE RISOVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7 3RD ST SE STE 204, MINOT, ND 58701-3916
(701) 721-0738
Mailing address
7 3RD ST SE STE 204, MINOT, ND 58701-3916
(701) 839-8964
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
468
ND
237700000X
Hearing Instrument Specialist
Primary
H-0305
ND
Other
Enumeration date
11/01/2010
Last updated
11/03/2020
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