Individual
LISA MARIE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
324 E 35TH ST, MINNEAPOLIS, MN 55408-4580
(612) 827-7181
Mailing address
7830 36TH ST N APT 1311, OAKDALE, MN 55128-5780
(651) 285-6856
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
579
MN
Other
Enumeration date
05/07/2024
Last updated
05/08/2024
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