Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA R MATTSON, M.D.
ActiveLISA R MATTSON, M.D. is a Obstetrics & Gynecology healthcare provider located in FRIDLEY, Minnesota. NPI 1053394825 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · FRIDLEY, MN
Registration Details
- NPI Number
- 1053394825
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2005 (20.535357152003 yrs)
- Last Updated
- Dec 22, 2011
- License
-
38249 (MN)
Practice Information
- Address
-
500 OSBORNE RD NESUITE 255FRIDLEY, MN, 554322765Browse MN providers · Browse ZIP 55432
- Phone
- 7632362500
- Fax
- 7632362505
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| KEITH THOMAS WENDA | MD | 1861452740 |
| DR. CECIL EMERSON BASSETT | M.D. | 1669433207 |
| LEX LAWSON | MD | 1407818073 |
| PAMELA GREEN | — | 1932163607 |
| DR. NICHOLAS W HAMEL | MD | 1649236894 |
| DR. HENRY KAH MIN BONG | MD | 1831213438 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.