DR. LISA KATHLEEN AMUNDSON (NPI# 1134317712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134317712 |
| Entity Type | Individual |
| Full Name | DR. LISA KATHLEEN AMUNDSON |
| Credential | DDS |
| Practice Address |
6939 Pine Arbor Dr S Suite A104 Cottage Grove MN 55016-4580 |
| Practice Telephone | 6514593514 |
| Mailing Telephone | 6514593514 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12460 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548527161 | Lisa Amundson | Speech-Language Pathologist | 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 | 2012-04-20 |
| Street Address |
6939 PINE ARBOR DR S SUITE A104 |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-4580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043656168 | Amundson Family Dentistry | Clinic/Center | 6939 Pine Arbor Dr S, Ste 104, Cottage Grove, MN 55016-4642 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647589 | Lindgren Dental Care Pllc | Dentist | 6936 Pine Arbor Dr S Ste 210, Cottage Grove, MN 55016-4672 | 2019-06-06 |
| 1790003416 | Excellence In Dentistry, LLC | Dentist | 226 W Cottage Grove Rd, Cottage Grove, WI 53527-9620 | 2010-05-05 |
| 1912083205 | L Brent Bitner Dds PC | Dentist | 335 S Pacific Hwy, Cottage Grove, OR 97424-2137 | 2006-10-28 |
| 1760562607 | Donald Stanley Blair | Dentist | 2848 County Road Bb, Cottage Grove, WI 53527-8862 | 2006-10-16 |
| 1770681173 | Shannon Carol Cunningham | Dentist | 7430 80th St S, Suite 202, Cottage Grove, MN 55016-3035 | 2006-09-20 |
| 1326140377 | Douglas George Maddess | Dentist | 914 S 4th St, Cottage Grove, OR 97424-2702 | 2006-09-01 |
| 1154375327 | Diane Vavrik Crater | Dentist | 8063 Hadley Ave S, Cottage Grove, MN 55016-2652 | 2006-05-20 |
| 1447212097 | Raymond B Hadley | Dentist | 302 S 6th St, Cottage Grove, OR 97424-2111 | 2006-04-06 |
| 1174515092 | Cheryl Lindgren | Dentist | 6936 Pine Arbor Dr S, Suite 210, Cottage Grove, MN 55016-4645 | 2005-08-17 |
| 1538717186 | Samantha Rae Ayala | Dentist | 1775 E Main St, Cottage Grove, OR 97424-2245 | 2019-08-27 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.