Individual
LISA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 ASTON CIR, BURNSVILLE, MN 55337-6752
(507) 351-9493
Mailing address
11140 HIGHWAY 55 STE C, PLYMOUTH, MN 55441-6017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205245545
—
MN
Enumeration date
08/12/2014
Last updated
02/10/2025
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