LISA LEGVOLD, PA-C

Physician Assistant

Active Individual
NPI: 1518357102

Practice Address

4725 36TH AVE N
Crystal, MN 55422

Phone: (218) 208-2058

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 11762 (MN)

Frequently Asked Questions

NPI 1518357102 is the National Provider Identifier for LISA LEGVOLD, PA-C, a Physician Assistant provider located in Crystal, MN. This NPI was enumerated on February 3, 2015.
LISA LEGVOLD, PA-C practices at 4725 36TH AVE N, Crystal, MN 55422.

Quick Facts

NPI
1518357102
Type
Individual
Enumerated
Feb 3, 2015
Last Updated
Jan 25, 2022

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