Individual
LISA JO WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
4815 BURNING TREE RD STE 100, DULUTH, MN 55811-3800
(218) 733-0707
(218) 733-0717
Mailing address
4815 BURNING TREE RD STE 100, DULUTH, MN 55811-3800
(218) 733-0707
(218) 733-0717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1647776
MN
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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