Individual
LISA ANNETTE LUBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP1136
MN
363LN0000X
Neonatal Nurse Practitioner
CP000374
SD
363LN0000X
Neonatal Nurse Practitioner
R160724-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993173
WELLMARK
SD
05
—
6829300
—
SD
01
—
9254403
DAKOTACARE
SD
01
—
CP000374
CNP LICENSE
SD
01
—
LUB1-0430-2308
NCC ID
SD
01
—
R 160724-0
MN RN
MN
01
—
R0287659
RN LICENSE
SD
Enumeration date
04/07/2007
Last updated
05/07/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us