MEDICARE: DR. LISA LEE CUMMINGS D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	1029	MN

General Provider Information

NPI Number	:	1114183894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA LEE CUMMINGS D.P.M.

Provider Business Mailing Address
First Line	:	7801 E BUSH LAKE RD STE 400
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-3113
Country	:	US
Telephone Number	:	952-283-3162
Fax Number	:	866-991-7241

Provider Business Practice Location Address
First Line	:	7500 BRYAN DAIRY RD STE B
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33777-1437
Country	:	US
Telephone Number	:	727-547-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	03/13/2025

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