Individual
LEE CARRIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
24760 HOSPITAL RD, REDLAKE, MN 56671-0497
(218) 679-0119
Mailing address
PO BOX 497, REDLAKE, MN 56671-0497
(218) 679-0119
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2997
MN
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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