Individual
LISA ROSE WEIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38B38WE
BCBS OF MN
MN
01
—
6403387
MEDICA
MN
01
—
793846
AMERICA'S PPO
MN
01
—
962871010735
PREFERRED ONE
MN
01
—
HP44373
HEALTHPARTNERS
MN
Enumeration date
07/23/2006
Last updated
08/09/2019
Update your record
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