Hebl, Lisa M

Hebl, Lisa M is an individual health care provider with primary practice located at 6351 E Superior St , Duluth MN 55804-2545. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hebl, Lisa M can be contacted via phone (218) 249-4500.

Contact Information

Primary practice address
6351 E Superior St Duluth MN 55804-2545
Phone: (218) 249-4500
Fax: (218) 249-4555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9526 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9526 Minnesota

Profile Details

NPI number 1003808023
LBN Legal business name Hebl, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 16th, 2020 - about 4 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 1003808023 NPPES
Minnesota MEDICAID 104337400
Minnesota Other 970018168

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