Individual
DR. LISA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 PLEASANT ST, STE 206, DES MOINES, IA 50309-1416
(515) 241-5743
(515) 241-6474
Mailing address
6800 LAKE DRIVE, STE 250, WEST DES MOINES, IA 50266-2504
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33902
IA
208M00000X
Hospitalist Physician
33902
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237164
—
IA
05
—
2237164
—
IA
01
—
70625
BCBS
IA
Enumeration date
08/29/2006
Last updated
08/10/2011
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