Individual
LISA M ECKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
245 W MCKINLEY ST, OWATONNA, MN 55060-3720
(507) 213-9997
Mailing address
7465 GOLDEN OAK CT, MINNESOTA CITY, MN 55959-1223
(507) 429-9615
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4574
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2966901011
—
MN
Enumeration date
02/15/2007
Last updated
07/09/2007
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