NPI 1467813964

Lisa Ann Robertson, RDH

Practitioner Dental Hygienist Duluth, MN

Practice location

Address: 4325 Grand Ave, Duluth, MN 55807-2730
Phone: (218) 628-7035

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence H9662 (MN)

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Registry record

NPI: 1467813964
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2016
Record last updated: 10 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.