Individual
LISA ANN HUYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
(218) 741-7892
Mailing address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
(218) 741-7892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085001222
IL
363A00000X
Physician Assistant
Primary
11311
MN
Other
Enumeration date
12/08/2006
Last updated
05/12/2016
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