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Contact Information

LISA M DEMARAIS, OPA-C, CST
1107 HART BLVD
MONTICELLO, MN55362-8538
 Phone: 763-295-2921
 Fax: 763-271-3810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA M DEMARAIS · (Female)

NPI Number 1386750099
Status Active
Credentials OPA-C, CST
Entity Individual
Enumeration date 08/23/2006
Last updated 05/01/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 875
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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