| NPI | 1962627398 |
|---|---|
| Other Name | LISA JAMSA TOLLEFSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 51723) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 10765) |
| 207Q00000X Family Medicine (Licence: ND RL10246) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-03-07 |