Individual
LISA JOLEE WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
Mailing address
31215 LEVI PATH, LAKE CITY, MN 55041-3250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7870
MN
Other
Enumeration date
12/20/2020
Last updated
02/17/2021
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