Hoepner, Lisa M

Hoepner, Lisa M is an individual health care provider with primary practice located at 800 Freeport Ave Nw Ste 100A, Elk River MN 55330-2723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hoepner, Lisa M can be contacted via phone (763) 257-8000.

Contact Information

Primary practice address
800 Freeport Ave Nw Ste 100A Elk River MN 55330-2723
Phone: (763) 257-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9354 Minnesota

Profile Details

NPI number 1215024807
LBN Legal business name Hoepner, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 13th, 2007 - about 17 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 1215024807 NPPES
Minnesota MEDICAID 697695600

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