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Individual

LISA COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17282 TREFOLDIGHED RD, BATTLE LAKE, MN 56515-9228
(218) 864-0978
Mailing address
17282 TREFOLDIGHED RD, BATTLE LAKE, MN 56515-9228

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100213
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
458L3CO
BCBS
MN
01
HP70891
HEALTH PARTNERS
MN
Enumeration date
11/16/2006
Last updated
07/25/2007
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