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Individual

LISA Y COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-1168
Mailing address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-1168

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 175905-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002887800
MN
01
701A4SC
BCBSMN
Enumeration date
04/12/2007
Last updated
07/21/2008
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