Lisa Holten, | |
4897 Miller Trunk Hwy Ste 121, Hermantown, MN 55811-1696 | |
(218) 302-1966 | |
Not Available |
Full Name | Lisa Holten |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 4897 Miller Trunk Hwy Ste 121, Hermantown, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942192448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 825764 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lisa Holten, 1408 Maple Grove Rd Apt 206, Duluth, MN 55811-4514 Ph: (218) 721-8890 | Lisa Holten, 4897 Miller Trunk Hwy Ste 121, Hermantown, MN 55811-1696 Ph: (218) 302-1966 |
Kaylee K Bovard, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4840 Starlite Loop Unit E, Hermantown, MN 55811 Phone: 580-491-0606 | |
Julie Lind, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4253 Timberridge Ln Apt B, Hermantown, MN 55811 Phone: 218-721-7534 |