Lisa Berntson Dornick in Minneapolis - Pediatrics
Lisa Berntson Dornick - NPI 1992743884
Lisa Berntson Dornick is a Pediatrics in Minneapolis, Minnesota. Lisa Berntson Dornick practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa Berntson Dornick is 1992743884. The last update date is 2012-09-21.
Lisa Berntson Dornick's current location address is 250 S 4th St, Minneapolis, Minnesota. You can contact this provider via phone number 6126732301 and fax number 6126733866. The mailing address for Lisa Berntson Dornick is 250 S 4th St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Berntson Dornick |
|---|---|
| Address | 250 S 4th St, Minneapolis, Minnesota |
| Phone Number | 6126732301 |
| Fax Number | 6126733866 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1992743884 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2012-09-21 |
Provider Mailing Address Detail
| Address | 250 S 4th St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554151384 |
| Phone Number | 6126732301 |
| Fax Number | 6126733866 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R-101808-8 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 782314200 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Berntson Dornick by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Berntson Dornick has been assigned the NPI (National Provider Identifier) 1992743884. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Lisa Berntson Dornick's facilities are geographically located?
The facilities of Lisa Berntson Dornick are physically situated at the following location: 250 S 4Th St, Minneapolis, MN, 554151384.
What is the area of specialization for Lisa Berntson Dornick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Berntson Dornick is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
When did Lisa Berntson Dornick receive its 1992743884 assignment?
The Lisa Berntson Dornick was assigned its 1992743884 on 2006-06-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lisa Berntson Dornick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Berntson Dornick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-21.