Bojado, Lisa

Bojado, Lisa is an individual health care provider with primary practice located at 2854 Highway 55 Ste 130 , Eagan MN 55121-1447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bojado, Lisa can be contacted via phone (651) 842-3328.

Contact Information

Primary practice address
2854 Highway 55 Ste 130 Eagan MN 55121-1447
Phone: (651) 842-3328
Fax: (651) 842-3391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332670 New York

Profile Details

NPI number 1326009630
LBN Legal business name Bojado, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Sep 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326009630 NPPES
New York MEDICAID 02333186

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