LISA DOMEYER

COON RAPIDS, MN
NPI1134271406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  11624)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- LISA DOMEYER DDs
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600
Mailing Address
-- LISA DOMEYER DDs
11441 OSAGE ST NW
COON RAPIDS, MN 55433-3677
Phone number: 763-757-6600