Wasserman, Lisa Ruth

Wasserman, Lisa Ruth is an individual health care provider with primary practice located at 3931 Louisiana Ave S Suite 400E, St Louis Park MN 55426-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Wasserman, Lisa Ruth can be contacted via phone (952) 993-3232.

Contact Information

Primary practice address
3931 Louisiana Ave S Suite 400E St Louis Park MN 55426-5000
Phone: (952) 993-3232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 47293 Minnesota

Profile Details

NPI number 1548222482
LBN Legal business name Wasserman, Lisa Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Mar 21st, 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 1548222482 NPPES
Minnesota Other 2371982 AMERICA'S PPO
Minnesota MEDICAID 382154400 AMERICA'S PPO
Minnesota Other 1042879 AMERICA'S PPO
Minnesota Other 182P7WA AMERICA'S PPO
Minnesota Other HP48036 AMERICA'S PPO
Minnesota Other 0902076 AMERICA'S PPO
Minnesota Other 0902076 AMERICA'S PPO

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