Individual
LISA A MINNE
Active
Individual
LISA A MINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35736
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100346750A
—
KS
05
—
115149500
—
WY
05
—
3506685
—
MT
05
—
47482559
—
CO
05
—
82424900
—
WI
05
—
84113438513
—
NE
05
—
Z7546
—
NM
Enumeration date
12/29/2005
Last updated
04/18/2013
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