Individual
LISA RAMSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 2ND AVE NW, WEST FARGO, ND 58078-1161
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
05/08/2020
Last updated
10/10/2022
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