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Individual

LISA R CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
1212 7TH ST NW, ROCHESTER, MN 55901-1733
(507) 288-5186
Mailing address
4227 LILAC AVE, NORTHWOOD, IA 50459-8531
(515) 845-2012

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
F081668
IA
363LW0102X
Women's Health Nurse Practitioner
Primary
R1176933
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-00927
MEDICA
01
1023191
PREFERRED ONE
01
1067914
AMERICA'S PPO (ARAZ)
01
127763
UCARE
01
21399
SIOUX VALLEY HEALTH PLAN
01
615S8CH
BCBS MN
MN
05
882903900
MN
01
HP30389
HEALTH PARTNERS
Enumeration date
01/26/2006
Last updated
05/28/2021
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