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NPI Code Detail

MEDICARE: RACHEL ANN LALIBERTE PHYSICIAN ASSISTANT

MEDICARE: RACHEL ANN LALIBERTE PHYSICIAN ASSISTANT
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1427888965
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ANN LALIBERTE PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 589 155TH AVE
Second Line :
City : SOMERSET
State : WI
Zip : 54025-7000
Country : US
Telephone Number : 651-600-5783
Fax Number :
Provider Business Practice Location Address
First Line : 2000 NORTH AVE
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-1697
Country : US
Telephone Number : 507-646-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2024
Last Update Date : 01/27/2026

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Directions to “ RACHEL ANN LALIBERTE PHYSICIAN ASSISTANT” Practice Location

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