# LISA PIVOTTO KROENING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821173956
- **Gender:** F
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | R111593 | MN | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1200184 | MEDICA | MN |
| 01 | — | 9G994KR | BC/BS | MN |
| 01 | — | FP9021013319 | PREFERRED ONE | MN |