DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH MAUREEN KENNEDY LALIBERTE, PA-C

Active

ELIZABETH MAUREEN KENNEDY LALIBERTE, PA-C is a Physician Assistant healthcare provider located in SHAKOPEE, Minnesota. NPI 1063500247 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SHAKOPEE, MN

Registration Details

NPI Number
1063500247
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2006 (19.796710294074 yrs)
Last Updated
Sep 8, 2020
Licenses
10163 (MN)
10163 (MN)

Practice Information

Address
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN, 553793384
Browse MN providers · Browse ZIP 55379
Phone
9524033535
Fax
9504033599
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SHAKOPEE, MN

Name Credential NPI
MS. MARIA VICTORIA POLANCO PHYSICIAN ASSISTANT 1467439455
JENNIFER E GRUNDHOFER PA-C 1134194152
MRS. JENNIFER RUTH LARSON PA-C 1285684555
LISA M CUNAT PAC 1811939275
DAVID J COLLINS PA 1386671873
MS. JENNIFER L FROST PA 1750503611
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.