Individual
LISA MARIE DEMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPA-C, CST
Contact information
Practice address
1107 HART BLVD, MONTICELLO, MN 55362-8538
(763) 295-2921
(763) 271-3810
Mailing address
1107 HART BLVD, MONTICELLO, MN 55362-8538
(763) 295-2921
(763) 271-3810
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
363AS0400X
Surgical Physician Assistant
875
MN
Other
Enumeration date
08/23/2006
Last updated
05/01/2008
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