Hansen, Lisa

Hansen, Lisa is an sole proprietor health care provider with primary practice located at 4656 Excelsior Blvd , St Louis Park MN 55416-4938. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hansen, Lisa can be contacted via phone (952) 929-0140.

Contact Information

Primary practice address
4656 Excelsior Blvd St Louis Park MN 55416-4938
Phone: (952) 929-0140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 123937 Minnesota

Profile Details

NPI number 1396365649
LBN Legal business name Hansen, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2020
Last updated Apr 16th, 2020 - about 6 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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