Individual
LISA M. CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
56231
WI
207L00000X
Anesthesiology Physician
Primary
64858
MN
207L00000X
Anesthesiology Physician
K5276
TX
207L00000X
Anesthesiology Physician
MD208253
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050081038
RR/MEDICARE
TX
05
—
1442832-01
—
TX
01
—
1442832-02
CSHCN
TX
01
—
8B0458
BLUE SHIELD
TX
Enumeration date
03/22/2006
Last updated
06/23/2025
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