Individual
DR. LISA MINKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5045 NATURE TRL, RACINE, WI 53403-4428
(262) 496-8542
Mailing address
5045 NATURE TRL, RACINE, WI 53403-4428
(262) 496-8542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029523
IL
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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