Individual
LISA JEANNIE SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7505 METRO BLVD STE 400, EDINA, MN 55439
(612) 573-2200
(612) 573-2274
Mailing address
7505 METRO BLVD STE 400, EDINA, MN 55439-3010
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42569
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024745
PREFERRED ONE
MN
01
—
150725
UCARE
MN
05
—
2157834
—
IA
05
—
268647300
—
MN
01
—
296S9SC
BLUE CROSS
MN
01
—
300114920
RAILROAD MEDICARE MN
MN
05
—
34507500
—
WI
01
—
796823
AMERICA'S PPO
MN
01
—
90D70SC
BLUE CROSS
MN
01
—
HP31215
HEALTHPARTNERS
MN
Enumeration date
06/07/2006
Last updated
07/21/2022
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