Individual
LISA KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
800 E 28TH ST, PIPER BLDG #405, MINNEAPOLIS, MN 55407-3723
(612) 863-8585
(612) 863-8586
Mailing address
2550 UNIVERSITY AVE W, SUITE 110N, SAINT PAUL, MN 55114-1052
(651) 602-5335
(651) 665-9799
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2577
MN
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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