Individual
LISA ELAINE HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7932 27TH AVE N, NEW HOPE, MN 55427-3401
(763) 544-3338
Mailing address
1601 W MEDICINE LAKE DR, PLYMOUTH, MN 55441-4108
(612) 418-3135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R965543
MN
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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