Verna, Lisa

Verna, Lisa is an individual health care provider with primary practice located at 4833 Minnetonka Blvd , St Louis Park MN 55416-2214. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Verna, Lisa can be contacted via phone (952) 913-8687.

Contact Information

Primary practice address
4833 Minnetonka Blvd St Louis Park MN 55416-2214
Phone: (952) 913-8687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4610 Minnesota

Profile Details

NPI number 1104965656
LBN Legal business name Verna, Lisa
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 18th, 2012 - about 14 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 1104965656 NPPES
Minnesota MEDICAID 273686100

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