Lisa Ide is a Occupational Medicine in Minneapolis, Minnesota. Lisa Ide practices all healthcare services and medical treatments related to Occupational Medicine. The NPI Number for Lisa Ide is 1083702823. The last update date is 2023-03-07.
Lisa Ide's current location address is 717 E River Pkwy, Minneapolis, Minnesota. You can contact this provider via phone number 6124364818 and fax number 6124362600. The mailing address for Lisa Ide is 717 E River Pkwy, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ide |
|---|---|
| Address | 717 E River Pkwy, Minneapolis, Minnesota |
| Phone Number | 6124364818 |
| Fax Number | 6124362600 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083702823 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 717 E River Pkwy |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554550369 |
| Phone Number | 6124364818 |
| Fax Number | 6124362600 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Medicine |
|---|---|
| Taxonomy | 2083X0100X |
| Licence No | 34425 |
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Definition: Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this fie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34452 | MN | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Ide by the Centers for Medicare & Medicaid Services?
The Lisa Ide has been assigned the NPI (National Provider Identifier) 1083702823. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Ide located?
The Lisa Ide is located at 717 E River Pkwy, Minneapolis, MN 554550369.
What is Lisa Ide's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Ide is Occupational Medicine, and the taxonomy code that categorizes this field of expertise is 2083X0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083702823 to Lisa Ide?
The Lisa Ide received its 1083702823 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the information regarding Lisa Ide, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Ide, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC