Individual
LISA M HOEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 CAMPUS DR STE 20, PLYMOUTH, MN 55441-2669
(763) 257-8000
Mailing address
2800 CAMPUS DR STE 10, PLYMOUTH, MN 55441-8812
(763) 257-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9354
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697695600
—
MN
Enumeration date
10/06/2006
Last updated
12/13/2024
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