Individual
MS. LISA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12365 74TH AVE N, MAPLE GROVE, MN 55369-5284
(763) 670-8804
Mailing address
12365 74TH AVE N, MAPLE GROVE, MN 55369-5284
(763) 670-8804
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
97011
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97011
MN DEPT. OF HEALTH INTERPRETER ROSTER NUMBER
MN
05
—
A11516138
—
MN
Enumeration date
07/07/2022
Last updated
02/09/2025
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