Individual
MRS. LISA PIETIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2520 12TH AVE E, NORTH ST PAUL, MN 55109-2420
(651) 748-7450
Mailing address
2520 12TH AVE E, NORTH ST PAUL, MN 55109-2420
(651) 748-7450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12033803
MN
235Z00000X
Speech-Language Pathologist
Primary
7207
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319J4MO
BCBS-MINNESOTA
MN
01
—
46-00576
MEDICA
MN
01
—
HP44286
HEALTHPARTNERS
MN
Enumeration date
08/30/2006
Last updated
04/23/2026
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