Jenson, Lisa M

Jenson, Lisa M is an sole proprietor health care provider with primary practice located at 12555 University Ave Nw , Blaine MN 55434. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Jenson, Lisa M can be contacted via phone (763) 506-6729.

Contact Information

Primary practice address
12555 University Ave Nw Blaine MN 55434
Phone: (763) 506-6729
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1453 Minnesota

Profile Details

NPI number 1104040047
LBN Legal business name Jenson, Lisa M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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