Individual
DR. LISA EILEEN LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3539 DOUGLAS DR N, MINNEAPOLIS, MN 55422-2415
(612) 642-1355
(612) 756-7059
Mailing address
3539 DOUGLAS DR N, MINNEAPOLIS, MN 55422-2415
(612) 642-1355
(612) 756-7059
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5379
MN
103TC0700X
Clinical Psychologist
017260
NY
103TC0700X
Clinical Psychologist
3561-57
WI
Other
Enumeration date
04/16/2008
Last updated
01/14/2021
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