# LISA ROSE WEIBERG

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

## Provider details

- **NPI number:** 1568484491
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5010 | MN | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 08/09/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 38B38WE | BCBS OF MN | MN |
| 01 | — | 6403387 | MEDICA | MN |
| 01 | — | 793846 | AMERICA'S PPO | MN |
| 01 | — | 962871010735 | PREFERRED ONE | MN |
| 01 | — | HP44373 | HEALTHPARTNERS | MN |