Individual
MRS. LISA MARY ANDERSON LEININGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-8583
Mailing address
1225 VAGABOND LN N, PLYMOUTH, MN 55447-2561
(763) 473-4454
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4632
MN
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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