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Individual

DR. LISA ANN TATTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
3450 O'LEARY LANE, EAGAN, MN 55123-2340
(651) 365-8247
Mailing address
4144 BEAVER DAM ROAD, EAGAN, MN 55122-2123

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5131
MN

Other

Enumeration date
10/27/2009
Last updated
03/04/2010
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