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Individual

DR. LISA NICOLE LEGRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., L.P.

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-9277
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-9277

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5739
MN

Other

Enumeration date
03/03/2014
Last updated
05/08/2014
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