Individual
LISA K DAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6465 WAYZATA BLVD, STE 210, ST LOUIS PARK, MN 55426-1728
(952) 993-7169
(952) 993-0300
Mailing address
6465 WAYZATA BLVD, STE 210, ST LOUIS PARK, MN 55426-1728
(952) 993-0662
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R169210-3
MN
Other
Enumeration date
01/23/2008
Last updated
09/25/2009
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