Mix, Lisa

Mix, Lisa is an sole proprietor health care provider with primary practice located at 55 454Th Blvd , Harris MN 55032-4000. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Mix, Lisa can be contacted via phone (651) 334-5671.

Contact Information

Primary practice address
55 454Th Blvd Harris MN 55032-4000
Phone: (651) 334-5671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 4241198 Minnesota
Nursing Service Providers / Case Management 163WC0400X 221730-30 Wisconsin
Nursing Service Providers / Case Management 163WC0400X R141093-2 Minnesota

Profile Details

NPI number 1427703578
LBN Legal business name Mix, Lisa
Credentials RN CCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2022
Last updated Feb 17th, 2022 - about 3 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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