Individual
LISA BONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
22863 210TH ST, GLENWOOD, MN 56334-4220
(218) 260-1580
Mailing address
22863 210TH ST, GLENWOOD, MN 56334-4220
(218) 260-1580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8159
MN
Other
Enumeration date
04/23/2008
Last updated
08/13/2026
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