Search › Minnesota › 235Z00000X
Lisa Channon
NPI 1912846510 · on the registry since 2026 · sole proprietor
Practice
- Address
- 666 Warner Ave S
Mahtomedi, MN 55115 - Phone
- (651) 407-2309
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota