Lisowe, Jennifer A

Lisowe, Jennifer A is an individual health care provider with primary practice located at 5067 55Th St Nw , Rochester MN 55901-3809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Lisowe, Jennifer A can be contacted via phone (507) 288-3443.

Contact Information

Primary practice address
5067 55Th St Nw Rochester MN 55901-3809
Phone: (507) 288-3443
Fax: (507) 529-6622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 41670 Minnesota

Profile Details

NPI number 1275593923
LBN Legal business name Lisowe, Jennifer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2006
Last updated Mar 4th, 2014 - about 10 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 1275593923 NPPES
Minnesota MEDICAID 685224600

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