Lisa Fortman

NPI #1760368385 in Eagan, Minnesota

Provider Information

NPI Number: 1760368385
Entity Type: Individual
Name: Lisa Fortman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Aug 12, 2025
Last Updated: Aug 12, 2025

Practice Location

Address: 1440 DUCKWOOD DR STE 500
City: Eagan
State: Minnesota
ZIP Code: 55122-1399
Phone: (952) 955-9399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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