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Individual

MRS. LISA A ROSENAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDA

Contact information

Practice address
3632 10TH LN NW, ROCHESTER, MN 55901-7032
(507) 281-5000
(507) 281-5001
Mailing address
605 HILLCREST AVE, SUITE 130, OWATONNA, MN 55060-3680
(507) 451-0290
(507) 451-0291

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A4779
MN

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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