Individual
LISA XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5939 PORTLAND AVE, MINNEAPOLIS, MN 55417-3127
(612) 869-4444
Mailing address
5939 PORTLAND AVE, MINNEAPOLIS, MN 55417-3127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13637
MN
Other
Enumeration date
06/15/2021
Last updated
11/17/2021
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