LISA PIVOTTO KROENING

EDEN PRAIRIE, MN
NPI1821173956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  R111593)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- LISA PIVOTTO KROENING CPNP
18315 CASCADE DR STE 170
EDEN PRAIRIE, MN 55347-1180
Phone number: 952-831-1944
Mailing Address
-- LISA PIVOTTO KROENING CPNP
3955 PARKLAWN AVE
EDINA, MN 55435-5655
Phone number: 952-831-1944