Individual
LISA ELIZABETH WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435
(952) 924-5000
Mailing address
4015 COUNTY ROAD 25 APT 320, SAINT LOUIS PARK, MN 55416-3495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14025
MN
363A00000X
Physician Assistant
PA60892491
WA
Other
Enumeration date
09/18/2015
Last updated
10/02/2023
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