NPI 1376775437 · live from the CMS NPI Registry
Lisa Ann Bishop, MBChB
Pediatrics, Adolescent Medicine in Andover, MN. National Provider Identifier 1376775437, active.
NPI record
| NPI | 1376775437 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 15245 Bluebird St Nw, Andover, MN 55304 |
| Practice phone | 763-587-4600 |
| Mailing address | 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 |
| Enumerated | August 21, 2009 |
| Last updated | May 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 51665 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.