Individual
LISA MARIE GIESEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
5868 63RD AVE S, FARGO, ND 58104-5684
(507) 276-0757
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2804
MN
367500000X
Certified Registered Nurse Anesthetist
R49823
MN
367500000X
Certified Registered Nurse Anesthetist
R49823
ND
Other
Enumeration date
07/21/2021
Last updated
02/16/2023
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