LISA SMITH BASS

MINNEAPOLIS, MN
NPI1346251618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MN  101504-9)
Enumeration Date2006-08-11
Last Update Date2007-07-08
Business Address
Ms. LISA SMITH BASS NP
1 VETERANS DR 111C
MINNEAPOLIS, MN 55417-2309
Phone number: 612-467-3647
Mailing Address
Ms. LISA SMITH BASS NP
5352 HAMPSHIRE DR
MINNEAPOLIS, MN 55419-1433
Phone number: 612-824-6129
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