Individual
LISA HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
5710 BAKER RD, MINNETONKA, MN 55345-5901
(952) 767-4200
Mailing address
5710 BAKER RD, MINNETONKA, MN 55345-5901
(952) 767-4200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9191
MN
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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