Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA JENSON
Active Sole ProprietorLISA JENSON is a 2278P3900X healthcare provider located in ROSEVILLE, Minnesota. NPI 1861534273 is currently active in the NPPES registry. Verify at CMS.
2278P3900X · ROSEVILLE, MN
Registration Details
- NPI Number
- 1861534273
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2007 (19.531604071792 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
1964 (MN)3054 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2800 CLEVELAND AVE NROSEVILLE, MN, 551131126Browse MN providers · Browse ZIP 55113
- Phone
- 6516421825
- Primary Specialty
-
2278P3900X
2278P3900X
- Additional Specialty
- 2278P3900X
Other 2278P3900X Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| SUMMER JOHNSON | — | 1639211048 |
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.