Individual
DR. LISA YVONNE BATCHELOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12000 ELM CREEK BLVD N, SUITE 250, MAPLE GROVE, MN 55369-7073
(952) 401-8300
Mailing address
3925 OTTAWA AVE S, MINNEAPOLIS, MN 55416-3017
(952) 926-7900
(952) 380-5371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41060
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212926
MEDICA
MN
01
—
122923
UCARE
MN
01
—
22G36RO
BLUE CROSS
MN
01
—
CP9041016908
PREFERRED ONE
MN
Enumeration date
02/01/2006
Last updated
07/09/2007
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