Individual
LISA MICHELE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 12TH ST N, SAINT CLOUD, MN 56303-2255
(763) 600-3250
Mailing address
PO BOX 25, PRINCETON, MN 55371-0025
(763) 600-3250
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MN
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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