Individual provider · Type 1 NPI

Lisa Anne Runck, DDS. MS

Orthodontics and Dentofacial Orthopedics Dentistry · Mankato, MN

NPI number 1699841908 Active

Practice location

120 E Main St
Mankato, MN 56001-3501

Fax (507) 388-2985

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11289 (MN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1699841908

Lisa Anne Runck, DDS. MS's National Provider Identifier is 1699841908, issued on Nov 28, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mankato, MN. The record was last updated on Jul 8, 2007.