| Lisa M Block, CRNA | |
| 
					6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343  | |
| (651) 855-2109 | |
| Not Available | 
| Full Name | Lisa M Block | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 6050 Clearwater Drive, Minnetonka, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093823759 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R1002887 (Minnesota) | Primary | 
| Entity Name | Ridgeview Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183  | 
| Entity Name | Metropolitan Anesthesia Network Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa M Block, CRNA 2910 Centre Pointe Drive, 35-121a Childrens Health Care, Roseville, MN 55113 Ph: (651) 855-2109  | Lisa M Block, CRNA 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 Ph: (651) 855-2109  | 
Wilma K Gillis, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 16300 Highwood Dr, Minnetonka, MN 55345 Phone: 608-263-8100  | |
Henrik J Bjorndahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305 Phone: 952-932-9012 Fax: 952-932-7122  | |
Patricia Kay Fortier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305 Phone: 952-932-9012  | |
Gary Wilfred Bodie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305 Phone: 952-932-9012 Fax: 952-932-7122  | |
Gail R Andrewski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13911 Ridgedale Dr, Suite 350, Minnetonka, MN 55305 Phone: 952-932-9012 Fax: 952-932-7122  | |
Mary K Lovejoy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6050 Clearwater Drive, Childrens Health Care West, Minnetonka, MN 55343 Phone: 651-855-2109  |