Individual
LISA M VOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 SMITH AVE N, STE 600, SAINT PAUL, MN 55102-2424
(651) 241-7246
(651) 241-7272
Mailing address
910 W 32ND ST, MINNEAPOLIS, MN 55408-3552
(612) 964-1494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41270
MN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
41270
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286012100
—
MN
Enumeration date
04/10/2006
Last updated
04/25/2025
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