Lisa R Davidson is a Neurology in Mankato, Minnesota. Lisa R Davidson practices all healthcare services and medical treatments related to Neurology. The NPI Number for Lisa R Davidson is 1184603193. The last update date is 2020-07-10.
Lisa R Davidson's current location address is Po Box 8674, Mankato, Minnesota. You can contact this provider via phone number 5076251811. The mailing address for Lisa R Davidson is Po Box 8674, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa R Davidson |
|---|---|
| Address | Po Box 8674, Mankato, Minnesota |
| Phone Number | 5076251811 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184603193 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2020-07-10 |
Provider Mailing Address Detail
| Address | Po Box 8674 |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560028674 |
| Phone Number | 5076251811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 43496 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1328361 | MN | AMERICAS PPO | |
| 410849339 56001 | CHAMPUS | ||
| 500173 | MN | MEDICA | |
| 151694 | MN | UCARE | |
| 71645600 | MN | -- | |
| 947127 | IA | MEDICAID | |
| 45D61DA | MN | BCBS | |
| 130024186 | RR MEDICARE | ||
| HP32997 | MN | HEALTH PARTNERS | |
| NA2951027572 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa R Davidson by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa R Davidson has been assigned the NPI (National Provider Identifier) 1184603193. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Lisa R Davidson's physical address?
The Lisa R Davidson is physically located at Po Box 8674, in the city of Mankato, MN, with the postal code 560028674.
What is the Lisa R Davidson's specialty and taxonomy code?
The Lisa R Davidson's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184603193 to Lisa R Davidson?
The Centers for Medicare & Medicaid Services originally issued the 1184603193 to Lisa R Davidson on 2006-01-10.
When was the information regarding Lisa R Davidson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa R Davidson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-07-10.
NPI Number: 1215930425
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