Search › Minnesota › 171R00000X
Lisa Jensen
NPI 1972236867 · on the registry since 2022 · sole proprietor
Practice
- Address
- 12365 74th Ave N
Maple Grove, MN 55369 - Phone
- (763) 670-8804
Registry record
- Primary taxonomy
- 171R00000X
171R00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-09
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