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NPI Code Detail

MEDICARE: DR. LISA SPIER DDS

MEDICARE: DR. LISA SPIER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD10723MN

General Provider Information

NPI Number : 1629089479
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA SPIER DDS
Provider Business Mailing Address
First Line : 20 1ST AVE S
Second Line :
City : BUFFALO
State : MN
Zip : 55313-1409
Country : US
Telephone Number : 763-682-2572
Fax Number : 763-682-2700
Provider Business Practice Location Address
First Line : 20 1ST AVE S
Second Line :
City : BUFFALO
State : MN
Zip : 55313-1409
Country : US
Telephone Number : 763-682-2572
Fax Number : 763-682-2700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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