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General NPI Number Information
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NPI Number | 1962472332
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Entity Type | Individual
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Provider Name | LISA R CHRISTIANSEN WHCNP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 1212 7TH ST NW
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City | ROCHESTER
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State | MN
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Zip | 55901-1733
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Country | US
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Telephone | 507-288-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 4227 LILAC AVE
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City | NORTHWOOD
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State | IA
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Zip | 50459-8531
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Country | US
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Telephone | 515-845-2012
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | F081668
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R1176933
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License Number State | MN
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