Lisa R Mattson M.D.

NPI 1053394825 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1053394825
Gender Female
Enumeration Date 11/25/2005
Last Updated 12/22/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
500 OSBORNE RD NE
SUITE 255
FRIDLEY MN, 55432-2765, US
Phone (763) 236-2500
Fax (763) 236-2505
Business Location
2925 CHICAGO AVE
MINNEAPOLIS MN, 55407-1321, US
Phone (612) 262-5000
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Minnesota
License Number 38249
Remove 1053394825 NPI Number
 

According to our database, Lisa R Mattson M.D. NPI is 1053394825, taxonomy code is 207V00000X and license number is 38249, license state is located at Minnesota. Lisa R Mattson M.D. physically located at 500 Osborne Rd Ne, Fridley MN, 55432-2765. NPI Number Lisa R Mattson M.D. has the Individual type.

Sponsored links

1053394825 NPI number is provided on an as is basis without warranty of any kind. 1053394825 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa R Mattson M.D. are for informational purposes only.