DR. LISA G WU (NPI# 1700191202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700191202 |
| Entity Type | Individual |
| Full Name | DR. LISA G WU |
| Credential | D.D.S. |
| Practice Address |
200 1st St Sw Rochester MN 55905 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5072842511 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 64929 | CA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D14112 | MN | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 25146 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2411 N Broadway, Los Angeles, CA 900312218 | 3239872000 | |
| 2680 Saturn Ave Ste 220, Huntington Park, CA 902554568 | 3239084200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144592312 | Lisa Maria Wu | Clinical Neuropsychologist | 211 E 43rd St Rm 2202, New York, NY 10017-4718 | 2012-02-03 |
| 1467774265 | Lisa Wu | Pharmacist | 560 E 7th St, Brooklyn, NY 11218-5902 | 2010-02-19 |
| 1922077684 | Lisa Wu | Pharmacist | 13800 Ne 34th Pl, Bellevue, WA 98005-1464 | 2006-03-15 |
| 1124224092 | Lisa May Wu | Family Medicine | 808 N 5th Ave, Sequim, WA 98382-3045 | 2007-06-26 |
| 1114954385 | Lisa Wu | Emergency Medicine | 450 Stanyan Street, San Francisco, CA 94117 | 2006-06-26 |
| Street Address |
200 1ST ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031875 | Christine Maria Miller | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-05-27 |
| 1184225898 | Ellen Renne Larkin | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-08 |
| 1972104180 | Malinda Marie Wilcox | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1720689920 | Tammy Lynn Perttula | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1619578721 | Aaron Anderson | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1093316598 | Rebecca Lea Parttridge | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1710588173 | Eduardo Gabriel Danduch | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1962002030 | Taylor Jeanne Jamison | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1619577640 | Hayden Taylor Middleton | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1295335461 | Vivek Sureshchandran Tharayil | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
| 1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
| 1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
| 1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
| 1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
| Find all providers in zip 55905 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477991677 | Pooja Gangwani | Dentist | 2400 S Clinton Ave Ste 125, Rochester, NY 14618-2668 | 2013-06-10 |
| 1003137381 | Marc G. Johnson | Dentist | 150 Lynnwood Dr, Rochester, NY 14618-2826 | 2010-06-21 |
| 1427217199 | John S. Vorrasi | Dentist | 2400 S Clinton Ave Bldg H Suite 125, Rochester, NY 14618 | 2008-06-06 |
| 1992842793 | Antonia Kolokythas | Dentist | 601 Elmwood Ave Box 705, Rochester, NY 14642-0001 | 2007-01-31 |
| 1619022449 | Jolly M Caplash | Dentist | 10 Hagen Dr Ste 230, Rochester, NY 14625-2659 | 2007-01-24 |
| 1649215328 | Joel C Michelson | Dentist | 3632 10th Ln Nw, Rochester, MN 55901-6917 | 2006-06-18 |
| 1083681928 | Nicholas H. Psimos | Dentist | 1101 N Broadway, Rochester, MN 55906-6841 | 2006-02-28 |
| 1962482562 | Michael Kim Ban | Dentist | 450 Adams St, Rochester, PA 15074-1911 | 2006-01-19 |
| 1992794218 | Lee Cain Chewning | Dentist | 191 S Park St, Rochester, PA 15074-2217 | 2005-10-19 |
| 1033731815 | Shayla Camille Steeds | Dentist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-05-14 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on DR. LISA G WU.
| 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.