Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | A10219 | MN |
NPI | 1013047000 |
---|---|
Provider Name | Mrs. Lianna Marie Doocy |
First Address | Owatonna, MN 55060-3680 |
Second Address | Owatonna, MN 55060-3680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 08/07/2007 |