Individual
LISA KIPPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18275 KENRICK AVE, LAKEVILLE, MN 55044-7306
(651) 234-2950
Mailing address
18275 KENRICK AVE, LAKEVILLE, MN 55044-7306
(651) 234-2950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12949
MN
Other
Enumeration date
02/20/2019
Last updated
10/31/2023
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