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1235195892
LISA M LAU
ST PAUL, MN
NPI
1235195892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 8899)
Enumeration Date
2006-04-24
Last Update Date
2007-07-08
Business Address
-- LISA M LAU PA
640 JACKSON ST MC 11102F
ST PAUL, MN 55101-2502
Phone number: 651-254-3456
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Mailing Address
-- LISA M LAU PA
8100 34TH AVE S MC21110Q
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-7172
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