Individual
DR. LYNNETTE K ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1230 COUNTY ROAD E E, SAINT PAUL, MN 55110-5132
(651) 482-0180
Mailing address
1230 COUNTY ROAD E E, SAINT PAUL, MN 55110-5132
(651) 482-0180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9959
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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