person
Lisa R Davidson, MD
Neurology Physician in Mankato, Minnesota
NPI 1184603193

Lisa R Davidson is a Neurology Physician based in Mankato, MN and is specialized in Neurology. Lisa R Davidson practices in Mankato, MN and has the professional credentials of MD. The NPI Number for Lisa R Davidson is 1184603193 and holds a License No. 43496 (Minnesota).

The current practice location address for Lisa R Davidson is 1230 E Main Street, Mankato, MN and can be reached out via phone at 507-625-1811. You can also correspond with Lisa R Davidson through the mailing address at PO BOX 8674, MANKATO, MN - 56002-8674 (mailing address contact number: 507-625-1811).

Location: 1230 E Main Street, Mankato, MN, 56002-8674
person
Provider Profile Details
NPI Number
1184603193
Provider Name
Lisa R Davidson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1230 E Main Street, Mankato, MN, 56002-8674
Phone Number
507-625-1811
Fax Number
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1328361 01 MN AMERICAS PPO
410849339 56001 C181 01 CHAMPUS
0500173 01 MN MEDICA
151694 01 MN UCARE
071645600 05 MN
0947127 01 IA MEDICAID
45D61DA 01 MN BCBS
130024186 01 RR MEDICARE
HP32997 01 MN HEALTH PARTNERS
NA2951027572 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
1230 E Main Street
City
State
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider Business Mailing Address Details
Address
1230 E Main Street
City
State
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
43496 (Minnesota)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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