Individual
LISA A GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6500 EXCELSIOR BLVD, ANESTHESIOLOGY DEPT, ST LOUIS PARK, MN 55426-4702
(952) 993-5222
Mailing address
6465 WAYZATA BLVD, SUITE 210, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1085464
MN
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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