NPI 1730498478

Lisa a Rosenau, LDA

Practitioner Dental Assistant Rochester, MN

Practice location

Address: 3632 10th Ln NW, Rochester, MN 55901-7032
Phone: (507) 281-5000
Fax: (507) 281-5001
Mailing address: 605 Hillcrest Ave Suite 130, Owatonna, MN 55060-3680

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence A4779 (MN)

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Registry record

NPI: 1730498478
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2010
Record last updated: 29 Sep 2010

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.