Individual
DR. LISA GENEVRA MANDEVILLE FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2512 S 7TH ST STE R200, MINNEAPOLIS, MN 55454-1404
(612) 273-1177
Mailing address
2512 S 7TH ST STE R200, MINNEAPOLIS, MN 55454-1404
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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