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1265699698
LISA RENEE SHIELDS
MINNEAPOLIS, MN
NPI
1265699698
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Former Name
LISA RENEE BANER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MN 334)
Enumeration Date
2008-05-22
Last Update Date
2019-10-11
Business Address
LISA RENEE SHIELDS APNP-BC; GNP; MAN;
7801 E BUSH LAKE RD STE 400
MINNEAPOLIS, MN 55439
Phone number: 952-283-3162
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Mailing Address
LISA RENEE SHIELDS APNP-BC; GNP; MAN;
7801 E BUSH LAKE RD STE 400
MINNEAPOLIS, MN 55439-3113
Phone number: 952-283-3162
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