Lisa Bonk, CCC-SLP is a
Speech-language Pathologist based in Glenwood, Minnesota. Lisa Bonk is licensed to practice in Minnesota (license number 8159) and her current practice location is
22863 210th St, Glenwood, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 260-1580.
NPI number for Lisa Bonk is 1235304114 and her current mailing address is 22863 210th St, Glenwood, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235304114.
Healthcare Provider's Profile
| Full Name | Lisa Bonk |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 22863 210th St, Glenwood, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235304114
- Provider Enumeration Date: 04/23/2008
- Last Update Date: 08/13/2026
Medical Identifiers
Medical identifiers for Lisa Bonk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235304114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 8159 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Bonk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa Bonk, CCC-SLP 22863 210th St, Glenwood, MN 56334-4220 Ph: (218) 260-1580 | Lisa Bonk, CCC-SLP 22863 210th St, Glenwood, MN 56334-4220 Ph: (218) 260-1580 |
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