Individual
LISA LUCILLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CFCN
Contact information
Practice address
4603 MINNEHAHA AVE UNIT 420, MINNEAPOLIS, MN 55406-4271
(763) 288-9059
Mailing address
4603 MINNEHAHA AVE UNIT 420, MINNEAPOLIS, MN 55406-4271
(763) 288-9059
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
2412861
MN
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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