Individual
LISA B CRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6545 FRANCE AVE S, SUITE 400, EDINA, MN 55435
(952) 920-9191
(952) 920-0232
Mailing address
6545 FRANCE AVE S, SUITE 400, EDINA, MN 55435
(952) 920-9191
(952) 920-0232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50799
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35358000
—
WI
Enumeration date
07/02/2007
Last updated
07/02/2010
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