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Lisa Berntson Dornick, PNP
Pediatric Nurse Practitioner in Minneapolis, Minnesota
NPI 1992743884

Lisa Berntson Dornick is a Pediatric Nurse Practitioner based in Minneapolis, MN and is specialized in Pediatrics. Lisa Berntson Dornick practices in Minneapolis, MN and has the professional credentials of PNP. The NPI Number for Lisa Berntson Dornick is 1992743884 and holds a License No. R-101808-8 (Minnesota).

The current practice location address for Lisa Berntson Dornick is 250 S 4Th St, Minneapolis, MN and can be reached out via phone at 612-673-2301 and via fax at 612-673-3866.

Location: 250 S 4Th St, Minneapolis, MN, 55415-1384
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Provider Profile Details
NPI Number
1992743884
Provider Name
Lisa Berntson Dornick
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
250 S 4Th St, Minneapolis, MN, 55415-1384
Phone Number
612-673-2301
Fax Number
612-673-3866
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
782314200 05 MN
institution
Provider Business Practice Location Address Details
Address
250 S 4Th St
City
State
Zip
55415-1384
Phone Number
612-673-2301
Fax Number
612-673-3866
person
Provider Business Mailing Address Details
Address
250 S 4Th St
City
State
Zip
55415-1384
Phone Number
612-673-2301
Fax Number
612-673-3866
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R-101808-8 (Minnesota)
Definition
Definition to come...
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