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Individual

ELIZABETH MAUREEN KENNEDY LALIBERTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1601 SAINT FRANCIS AVE STE 100, SHAKOPEE, MN 55379-3384
(952) 403-3535
(950) 403-3599
Mailing address
1601 SAINT FRANCIS AVE STE 100, SHAKOPEE, MN 55379-3384
(952) 403-3535
(950) 403-3599

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10163
MN
363AM0700X
Medical Physician Assistant
10163
MN

Other

Enumeration date
10/11/2006
Last updated
09/08/2020
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