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1124095575
LISA R. IRVIN
ST LOUIS PARK, MN
NPI
1124095575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MN 41186)
Enumeration Date
2006-03-03
Last Update Date
2011-09-22
Business Address
Dr. LISA R. IRVIN M.D.
3910 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416-4709
Phone number: 952-562-8787
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Mailing Address
Dr. LISA R. IRVIN M.D.
3910 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416-4709
Phone number: 952-562-8787
Copy
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