Lubbers, Lisa Annette

Lubbers, Lisa Annette is an individual health care provider with primary practice located at 6500 Excelsior Blvd , St Louis Park MN 55426-4702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lubbers, Lisa Annette can be contacted via phone (952) 993-5000.

Contact Information

Primary practice address
6500 Excelsior Blvd St Louis Park MN 55426-4702
Phone: (952) 993-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R160724-0 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP1136 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X CP000374 South Dakota

Profile Details

NPI number 1093838963
LBN Legal business name Lubbers, Lisa Annette
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated May 7th, 2024 - about 4 months 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 1093838963 NPPES
Minnesota Other R 160724-0 MN RN
Minnesota Other R0287659 MN RN
Minnesota Other LUB1-0430-2308 MN RN
Minnesota MEDICAID 6829300 MN RN
Minnesota Other 9254403 MN RN
Minnesota Other 4993173 MN RN
Minnesota Other CP000374 MN RN

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