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1265869606
LISA THANH TIEU
ST LOUIS PARK, MN
NPI
1265869606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 215505-0)
Enumeration Date
2013-10-01
Last Update Date
2014-09-12
Business Address
Dr. LISA THANH TIEU DNP, CNP
5100 GAMBLE DR SUITE 100
ST LOUIS PARK, MN 55416-1521
Phone number: 952-541-2500
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Mailing Address
Dr. LISA THANH TIEU DNP, CNP
9700 WATERSTONE PL APT 208A
MINNETONKA, MN 55305-5539
Phone number: 612-803-7618
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