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Individual

DR. LISA VERNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
4833 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2214
(952) 913-8687
Mailing address
1730 PLYMOUTH RD STE 300, MINNETONKA, MN 55305-1932
(952) 300-2387
(952) 300-2386

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4610
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273686100
MN
Enumeration date
02/05/2007
Last updated
06/18/2012
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