Individual
LISA M BENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
790 W 66TH ST, RICHFIELD, MN 55423-2203
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
(651) 222-1305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9642
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120453
MEDICA
MN
05
—
044599100
—
MN
01
—
141859
UCARE
MN
01
—
348S4BE
BCBS
MN
01
—
HP35662
HEALTH PARTNERS
MN
01
—
NA9021034915
PREFERRED ONE
MN
Enumeration date
03/31/2006
Last updated
08/11/2025
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