DR. Lisa Kathleen Amundson, DDS

NPI #1134317712 in Cottage Grove, Minnesota

Provider Information

NPI Number: 1134317712
Entity Type: Individual
Name: DR. Lisa Kathleen Amundson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 9, 2007
Last Updated: Oct 9, 2007

Practice Location

Address: 6939 PINE ARBOR DR S
Address 2: SUITE A104
City: Cottage Grove
State: Minnesota
ZIP Code: 55016-4580
Phone: (651) 459-3514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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