Individual
LISA NIEMCZYK GLOGOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A
Contact information
Practice address
8990 SPRINGBROOK DR NW STE 250, COON RAPIDS, MN 55433
(763) 260-8808
Mailing address
10600 250TH ST E, LAKEVILLE, MN 55044-6409
(651) 492-4882
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1772
MN
Other
Enumeration date
03/11/2015
Last updated
02/11/2019
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