Individual
LISA ANNE SOUPIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6485 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3246
(952) 933-1150
(952) 930-3304
Mailing address
6485 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3246
(952) 933-1150
(952) 930-3304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7720
MN
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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