Lisa Domeyer, DDS
NPI #1134271406 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1134271406
- Entity Type
- Individual
- Name
- Lisa Domeyer, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11441 OSAGE ST NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-3677
- Phone
- (763) 757-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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