Individual
LISA GERI BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
5520 RIDGEWOOD CV, MOUND, MN 55364-8239
(612) 865-5262
(952) 431-7763
Mailing address
8685 HUNTERS CT, APPLE VALLEY, MN 55124-9413
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R134891-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549029-00
—
MN
Enumeration date
08/05/2006
Last updated
06/26/2013
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