Individual
LISA POWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8980 HUDSON BLVD N, LAKE ELMO, MN 55042-9704
(651) 735-9057
(651) 290-9210
Mailing address
8980 HUDSON BLVD N, LAKE ELMO, MN 55042-9704
(651) 735-9057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12280
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946428000
—
MN
Enumeration date
02/06/2007
Last updated
11/14/2008
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