Type 2 organization · NPI 1033921069
LISA BONAHOOM LLC
106H00000X · LONG LAKE, MN
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Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 106H00000X | 106H00000X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s