Individual
LISA A HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37745
MN
207Q00000X
Family Medicine Physician
DR.0058653
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000155662
—
CO
Enumeration date
07/18/2006
Last updated
09/28/2018
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