Individual
LISA POULIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2356 UNIVERSITY AVE W STE 220, SAINT PAUL, MN 55114-1850
(651) 789-2299
(651) 306-1359
Mailing address
2356 UNIVERSITY AVE W STE 220, SAINT PAUL, MN 55114-1850
(651) 789-2299
(651) 306-1359
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R166267-0
MN
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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