Stay, Lisa M

Stay, Lisa M is an individual health care provider with primary practice located at 425 7Th St Nw , Cass Lake MN 56633-3360. 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. Stay, Lisa M can be contacted via phone (218) 335-3200.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake MN 56633-3360
Phone: (218) 335-3200
Fax: (218) 335-3408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R157183-9 Minnesota

Profile Details

NPI number 1801184411
LBN Legal business name Stay, Lisa M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2011
Last updated Mar 30th, 2022 - about 4 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 1801184411 NPPES
Minnesota MEDICAID 1801184411

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