Individual
MS. LISA KAY BOBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
225 SMITH AVE N # 100, SAINT PAUL, MN 55102-2534
(651) 292-0616
Mailing address
375 HICKORY ST, MAHTOMEDI, MN 55115-1712
(651) 653-8021
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R105891-2
MN
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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