Cronk, Lisa B
Cronk, Lisa B is an individual health care provider with primary practice located at 6545 France Ave S Suite 400, Edina MN 55435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cronk, Lisa B can be contacted via phone (952) 920-9191.Contact Information
Primary practice address
6545 France Ave S Suite 400
Edina MN 55435
Phone: (952) 920-9191
Fax: (952) 920-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50799 | Minnesota |
Profile Details
| NPI number | 1992902878 |
|---|---|
| LBN Legal business name | Cronk, Lisa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Jul 2nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992902878 | NPPES |
| Wisconsin | MEDICAID | 35358000 |
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