Lisa Legvold, PA-C

NPI #1518357102 in Crystal, Minnesota

Provider Information

NPI Number
1518357102
Entity Type
Individual
Name
Lisa Legvold, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Feb 3, 2015
Last Updated
Jan 25, 2022

Practice Location

Address
4725 36TH AVE N
ZIP Code
55422-2169
Phone
(218) 208-2058

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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