Individual
LISA MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7760 FRANCE AVE S STE 210, BLOOMINGTON, MN 55435-5885
(218) 624-1330
Mailing address
7760 FRANCE AVE S STE 210, BLOOMINGTON, MN 55435-5885
(218) 624-1330
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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