Lisa A Rosenau, LDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

A4779 Issued in MN

Practice address

3632 10TH LN NW
Rochester, MN 55901-7032

Phone

(507) 281-5000

Fax

(507) 281-5001

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mayo Clinic Health System-Southeast Minnesota Region

  • Durable Medical Equipment & Medical Supplies
  • Austin, MN
  • NPI 1265462279
  NPD (past)
• Southeastern Minnesota Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery Clinic/Center
  • Rochester, MN
  • NPI 1659492312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1730498478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HILLCREST AVE",
            "address_2": "SUITE 130",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603680",
            "telephone_number": "507-451-0290",
            "fax_number": "507-451-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 10TH LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017032",
            "telephone_number": "507-281-5000",
            "fax_number": "507-281-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENAU",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MN",
            "license": "A4779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Sean Rose, MD
• Steven H Rose, M.D.
• Claire Rosemark, LADC
• Charles B. Rosen, M.D.
• Gwenn R Rosenau, CNNP
• Andrew N Rosenbaum, MD
• Jon E Rosenblatt, M.D.
• David J Rosenman, M.D.
• Jane R Rosenman, M.D.
• Christian Scott Rosenow, MD

• Dental Assistant in Rochester, MN
• Providers in Rochester, MN by specialty
• Dental Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.