Power, Lisa
Power, Lisa is an individual health care provider with primary practice located at 8980 Hudson Blvd N , Lake Elmo MN 55042-9704. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Power, Lisa can be contacted via phone (651) 735-9057.Contact Information
Primary practice address
8980 Hudson Blvd N
Lake Elmo MN 55042-9704
Phone: (651) 735-9057
Fax: (651) 290-9210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D12280 | Minnesota |
Profile Details
| NPI number | 1477692226 |
|---|---|
| LBN Legal business name | Power, Lisa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Nov 14th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477692226 | NPPES |
| Minnesota | MEDICAID | 946428000 |
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