Individual
LISA MARY GALL
Active
Individual
LISA MARY GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1085286
MN
163WM1400X
Nurse Massage Therapist (NMT)
R1085286
MN
251J00000X
Nursing Care Agency
R1085286
MN
363LF0000X
Family Nurse Practitioner
Primary
R1085286
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118421
MEDICA HEALTH PLANS
—
01
—
1041752
PREFERRED ONE
—
01
—
132230
UCARE
—
01
—
2172434
ARAZ GROUP AMERICAS PPO
—
01
—
312K8GA
BLUE CROSS BLUE SHIELD
—
01
—
548522300
MEDICAL ASSISTANCE
—
01
—
HP46368
HEALTH PARTNERS
—
01
—
P00172825
RAILROAD MEDICARE
—
Enumeration date
11/08/2005
Last updated
03/26/2025
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