Lisa Michele King

NPI #1114717295 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1114717295
Entity Type: Individual
Name: Lisa Michele King
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 12, 2025
Last Updated: May 12, 2025

Practice Location

Address: 3701 12TH ST N
City: Saint Cloud
State: Minnesota
ZIP Code: 56303-2255
Phone: (763) 600-3250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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