Individual
DR. LISA ANN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBCHB
Contact information
Practice address
15245 BLUEBIRD ST NW, ANDOVER, MN 55304
(763) 587-4600
Mailing address
8170 33RD AVE S, MS 21110Q, MINNEAPOLIS, MN 55425-4516
(763) 587-4600
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
51665
MN
Other
Enumeration date
08/21/2009
Last updated
05/25/2018
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