Fedora, Lisa Marie

Fedora, Lisa Marie is an individual health care provider with primary practice located at 11 E Superior St Ste 415 , Duluth MN 55802-3008. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fedora, Lisa Marie can be contacted via phone (218) 249-0595.

Contact Information

Primary practice address
11 E Superior St Ste 415 Duluth MN 55802-3008
Phone: (218) 249-0595
Fax: (218) 461-3666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4660 Minnesota

Profile Details

NPI number 1023174638
LBN Legal business name Fedora, Lisa Marie
Credentials M.A., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Mar 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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