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Individual

LISA KAE FEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CDE FNP

Contact information

Practice address
7701 YORK AVE S, SUITE 180, EDINA, MN 55435-5845
(952) 927-7810
(952) 927-6309
Mailing address
7701 YORK AVE S, SUITE 180, EDINA, MN 55435-5845
(952) 927-7810
(952) 927-6309

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1049604
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110908
MEDICA CHOICE
MN
01
0256006
SELECT CARE
MN
01
3300003
MEDICA PRIMARY
MN
01
410999025
TRICARE
MN
01
66D39FE
BLUE CROSS BLUE SHIELD
MN
05
743061200
MN
01
960541020895
PREFERRED ONE
MN
01
HP42395
HEALTH PARTNERS
MN
Enumeration date
04/12/2006
Last updated
05/06/2008
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