Individual
LISA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
563 WESTWIND AVE, SHAKOPEE, MN 55379-3230
(612) 598-9360
(952) 303-6326
Mailing address
563 WESTWIND AVE, SHAKOPEE, MN 55379-3230
(612) 598-9360
(952) 303-6326
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
376440
MN
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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