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1083702823
LISA IDE
MINNEAPOLIS, MN
NPI
1083702823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2083X0100X Preventive Medicine Occupational Medicine
(Licence: MN 34425)
Enumeration Date
2006-10-10
Last Update Date
2023-03-07
Business Address
DR. LISA IDE MD
717 E RIVER PKWY
MINNEAPOLIS, MN 55455-0369
Phone number: 612-436-4818
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Mailing Address
DR. LISA IDE MD
3424 ZENITH AVE S
MINNEAPOLIS, MN 55416-4663
Phone number: 612-374-3795
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