Lisa R Mattson in Fridley - Obstetrics & Gynecology
Lisa R Mattson - NPI 1053394825
Lisa R Mattson is a Obstetrics & Gynecology in Fridley, Minnesota. Lisa R Mattson practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Lisa R Mattson is 1053394825. The last update date is 2011-12-22.
Lisa R Mattson's current location address is 500 Osborne Rd Ne, Fridley, Minnesota. You can contact this provider via phone number 7632362500 and fax number 7632362505. The mailing address for Lisa R Mattson is 500 Osborne Rd Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa R Mattson |
|---|---|
| Address | 500 Osborne Rd Ne, Fridley, Minnesota |
| Phone Number | 7632362500 |
| Fax Number | 7632362505 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053394825 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2011-12-22 |
Provider Mailing Address Detail
| Address | 500 Osborne Rd Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554322765 |
| Phone Number | 7632362500 |
| Fax Number | 7632362505 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 38249 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 676019800 | MN | -- |
Post Comment/ Review Below
What is the Lisa R Mattson's unique identification number?
The Lisa R Mattson has been assigned the NPI (National Provider Identifier) Number 1053394825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Lisa R Mattson is physically located?
The Lisa R Mattson is situated at the following address: 500 Osborne Rd Ne, Fridley, MN 554322765.
What is Lisa R Mattson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa R Mattson is Obstetrics & Gynecology, and the taxonomy code that classifies this field of practice is 207V00000X.
When was the Lisa R Mattson's 1053394825 issued?
The Lisa R Mattson's 1053394825 was issued on 2005-11-25.
As of what date were the Lisa R Mattson's details last updated?
The information pertaining to the Lisa R Mattson, including its address, specialty, and other details, was most recently updated on 2011-12-22.
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