LISA ANN ROBERTSON


Address: 4325 Grand Ave, Duluth, MN 55807-2730
Phone: 2186287035

LISA ANN ROBERTSON (NPI# 1467813964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467813964
Entity Type Individual
Full Name LISA ANN ROBERTSON
Credential RDH
Practice Address 4325 Grand Ave
Duluth
MN 55807-2730
Practice Telephone 2186287035
Mailing Telephone 2186287035
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist H9662 MN Dental Providers

Other Providers LISA ROBERTSON

NPI Name Taxonomy Address Enumeration
1649829813 Lisa Robertson Technician 172 Skimino Rd, Williamsburg, VA 23188-2222 2019-09-10
1003342734 Lisa Kay Robertson Registered Nurse 7476 N Camino De La Tierra, Tucson, AZ 85741-2123 2017-05-01
1366882870 Lisa Kaese Robertson Pharmacist 115 Rum River Dr N, Princeton, MN 55371-1616 2013-06-28
1003975384 Lisa G Robertson Occupational Therapist 310 East Broadway, Suite 100, Jackson, WY 83001 2006-12-06
1710966692 Lisa E Robertson Family Medicine 790 Northern Blvd, Suite K, South Abington Township, PA 18411-8799 2006-01-10
1326505595 Lisa Robertson Dietitian, Registered 1026 Twelve Oaks Pl Ste A, Watkinsville, GA 30677-4917 2019-02-25
1386116937 Lisa Robertson Behavior Technician 3311 Candelaria Rd Ne Ste A, Albuquerque, NM 87107-1952 2018-12-20
1477083822 Lisa Robertson Dentist 1207 N Loop 1604 W Ste 118, San Antonio, TX 78258-4629 2017-06-18
1174053151 Lisa N Robertson Speech-Language Pathologist 724 24th Ave Nw Ste 100, Norman, OK 73069-6214 2017-06-13
1023473063 Lisa Robertson Speech-Language Pathologist 130 E 9th St, Fremont, NE 68025-4101 2015-12-17

Office Location

Street Address 4325 GRAND AVE
City DULUTH
State MN
Zip Code 55807-2730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861484875 Barbara G Hemenway Family Medicine 4325 Grand Ave, Duluth, MN 55807-2730 2005-08-16
1457984783 Kellie Lynn Murphy Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2020-02-14
1417598079 Brittany Morgan Hamm Nurse Practitioner 4325 Grand Ave, Duluth, MN 55807-2730 2019-10-04
1962997023 Yin Cao Dentist 4325 Grand Ave, Duluth, MN 55807-2730 2018-06-29
1609367895 Susan Marie Johnson Licensed Practical Nurse 4325 Grand Ave, Duluth, MN 55807-2730 2018-05-23
1467993774 Kristie Hills Counselor 4325 Grand Ave, Duluth, MN 55807-2730 2017-03-20
1124569041 Nicole Shockley Nurse Practitioner 4325 Grand Ave, Duluth, MN 55807-2730 2017-03-10
1457714560 Alecia Radtke Licensed Practical Nurse 4325 Grand Ave, Duluth, MN 55807-2730 2016-04-05
1386008449 Amber Tibbetts Licensed Practical Nurse 4325 Grand Ave, Duluth, MN 55807-2730 2016-04-05
1679934012 Rebecca Ann Peterson Nurse Practitioner 4325 Grand Ave, Duluth, MN 55807 2016-03-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568918126 Jaime Lynn Mallory Counselor 4000 W 9th St., Duluth, MN 55807 2016-09-01
1568817138 Fathers Rise Together Community/Behavioral Health 319 N 22nd Ave West, Duluth, MN 55807 2016-05-02
1558660357 Melissa June Huray Counselor 326 North Central Avenue, Duluth, MN 55807 2011-03-18
1376757682 Chiropractic Health Center P A Chiropractor 215 North Central Ave, Duluth, MN 55807 2007-05-09
1639235914 Mark Andrew Nelson Albee Social Worker 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 2006-12-29
1851457758 Northwood Children's Services, Inc. Counselor 4000 W 9th St, Duluth, MN 55807 2006-12-28
1326134529 Jane Patricia Rudd Family Medicine 4212 Grand Ave, Duluth, MN 55807 2006-10-05
1548290257 Kirsten I Bich Family Medicine 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 2006-07-05
1033140660 Wendell R Bonner Family Medicine 4212 Grand Ave, Duluth, MN 55807 2006-07-05
1225525645 Mark J Engebretson Social Worker 5814 Elinor St, Duluth, MN 55807-1215 2018-04-20
Find all providers in zip 55807

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174152078 Ligita Lizuniene Dental Hygienist 3705 Old Norcross Rd Ste 300, Duluth, GA 30096-4336 2020-04-03
1790111250 Tammy Kaye Miskovich Dental Hygienist 3614 Minnesota Ave, Duluth, MN 55802-2541 2013-09-16
1295084945 Rikki Kolquist Dental Hygienist 730 W Skyline Pkwy, Duluth, MN 55806-2436 2012-09-07
1194002816 Anita Caines Dental Hygienist 8104 Vinland St, Duluth, MN 55810-1402 2011-11-09
1952688871 Megan Rock Dental Hygienist 2720 W 7th St, Duluth, MN 55806-1345 2011-11-06
1043819758 Alina D Simonca Dental Hygienist 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 2020-10-22
1457984783 Kellie Lynn Murphy Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2020-02-14
1205223732 Jennifer Springer Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2015-04-22
1093102725 Amy Marxhausen Dental Hygienist 4325 Grand Ave, Duluth, MN 55807-2730 2015-04-21
1851640478 Kristy Lynn Derosia Dental Hygienist 1420 London Rd, Suite 206, Duluth, MN 55805-2433 2012-08-29
Find all providers in DULUTH

Competitor

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City DULUTH
Zip Code 55807

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Dataset Information

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.

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