Feese, Lisa Kae

Feese, Lisa Kae is an individual health care provider with primary practice located at 7701 York Ave S Suite 180, Edina MN 55435-5845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Feese, Lisa Kae can be contacted via phone (952) 927-7810.

Contact Information

Primary practice address
7701 York Ave S Suite 180 Edina MN 55435-5845
Phone: (952) 927-7810
Fax: (952) 927-6309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1049604 Minnesota

Profile Details

NPI number 1033173620
LBN Legal business name Feese, Lisa Kae
Credentials RN CDE FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated May 6th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033173620 NPPES
Minnesota MEDICAID 743061200
Minnesota Other 0110908
Minnesota Other 66D39FE
Minnesota Other 3300003
Minnesota Other 410999025
Minnesota Other HP42395
Minnesota Other 0256006
Minnesota Other 960541020895

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