Individual
DR. LAUREN ELIZABETH TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.,PH.D.
Contact information
Practice address
120 BROADWAY AVE N, SUITE B, ROCHESTER, MN 55906-3728
(612) 226-3388
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(612) 226-3388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10304
MN
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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