# MS. LISA JEAN BARNES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265540710
- **Gender:** F
- **Credential:** MS, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 079329 | IA | — |
| 363A00000X | Physician Assistant | 085002224 | IL | — |
| 363A00000X | Physician Assistant | 9397 | MN | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 09/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 654425800 | — | MN |
| 01 | — | 970013419 | MEDICARE RAILROAD | MN |