Cross, Lisa D.

Cross, Lisa D. is an individual health care provider with primary practice located at 7270 Forestview Ln N Suite 150, Maple Grove MN 55369-5546. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cross, Lisa D. can be contacted via phone (763) 416-4167.

Contact Information

Primary practice address
7270 Forestview Ln N Suite 150 Maple Grove MN 55369-5546
Phone: (763) 416-4167
Fax: (763) 416-4137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1359 Minnesota

Profile Details

NPI number 1871519397
LBN Legal business name Cross, Lisa D.
Credentials MA, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 29th, 2009 - 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 1871519397 NPPES
Minnesota MEDICAID 397152000

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