Individual
LISA ANN BRANSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
2388 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1769
(612) 968-8753
Mailing address
2388 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1769
(612) 968-8753
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1500
MN
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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