Individual
LISA J GANSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 CREST DR, CHASKA, MN 55318-1751
(612) 725-8072
Mailing address
1280 CREST DR, CHASKA, MN 55318-1751
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L448426
MN
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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