Lisa L Anderson MD

NPI 1023079217 - Internal Medicine - 207R00000X

NPI Details
NPI 1023079217
Gender Female
Enumeration Date 03/29/2006
Last Updated 10/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
255 SMITH AVE N
SUITE 100
SAINT PAUL MN, 55102-2572, US
Phone (651) 241-5000
Fax
Business Location
2925 CHICAGO AVE
MINNEAPOLIS MN, 55407-1321, US
Phone (612) 262-5000
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 38387
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According to our database, Lisa L Anderson MD NPI is 1023079217, taxonomy code is 207R00000X and license number is 38387, license state is located at Minnesota. Lisa L Anderson MD physically located at 255 Smith Ave N, Saint Paul MN, 55102-2572. NPI Number Lisa L Anderson MD has the Individual type.

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1023079217 NPI number is provided on an as is basis without warranty of any kind. 1023079217 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa L Anderson MD are for informational purposes only.