Individual
DR. LYNNE MARIE OLSON ROMMESMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1115 19TH AVE N, FARGO, ND 58102-2201
(701) 293-8625
Mailing address
1115 19TH AVE N, FARGO, ND 58102-2201
(701) 293-8625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1721
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40902
—
ND
Enumeration date
02/06/2007
Last updated
06/02/2008
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