Individual
LISA A WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8080
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-8383
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2489
MN
Other
Enumeration date
04/22/2020
Last updated
07/11/2025
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