Individual
LISA FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17676 FORMOSA AVE, FARMINGTON, MN 55024-7808
(952) 353-6389
Mailing address
4202 YEW PT, EAGAN, MN 55122-1892
(952) 353-6389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R208055-2
MN
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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