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Lisa T Ley, PA-C
Medical Physician Assistant in Edina, Minnesota
NPI 1821094392

Lisa T Ley is a Medical Physician Assistant based in Edina, MN and is specialized in Medical. Lisa T Ley practices in Edina, MN and has the professional credentials of PA-C. The NPI Number for Lisa T Ley is 1821094392 and holds a License No. 9570 (Minnesota).

The current practice location address for Lisa T Ley is 3400 W 66Th St, Edina, MN and can be reached out via phone at 952-920-2761.

Location: 3400 W 66Th St, Edina, MN, 55435-2197
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Provider Profile Details
NPI Number
1821094392
Provider Name
Lisa T Ley
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3400 W 66Th St, Edina, MN, 55435-2197
Phone Number
952-920-2761
Fax Number
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
135142700 05 MN
010D3KR 01 MN BCBS MINNESOTA
institution
Provider Business Practice Location Address Details
Address
3400 W 66Th St
City
State
Zip
55435-2197
Phone Number
952-920-2761
Fax Number
person
Provider Business Mailing Address Details
Address
3400 W 66Th St
City
State
Zip
55435-2197
Phone Number
952-920-2761
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9570 (Minnesota)
Definition
Definition to come...
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