Individual
DR. RACHELLE LILLIAN LISOGURSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4432 CHICAGO AVE, CHRYSALIS, MINNEAPOLIS, MN 55407-3519
(612) 871-0118
Mailing address
10411 CEDAR LAKE RD, APT 319, MINNETONKA, MN 55305-3288
(612) 871-0118
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2596
MN
Other
Enumeration date
08/12/2007
Last updated
08/23/2016
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