Individual
DR. LISA WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11269 JEFFERSON HWY N, CHAMPLIN, MN 55316-3123
(763) 236-0600
(763) 236-0790
Mailing address
PO BOX 206, MINNEAPOLIS, MN 55480-0206
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6237
MN
Other
Enumeration date
12/29/2016
Last updated
04/01/2025
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