NPI 1083702823

Lisa Ide, MD

Practitioner Occupational Medicine Physician Minneapolis, MN

Practice location

Address: 717 E River Pkwy, Minneapolis, MN 55455-0369
Phone: (612) 436-4818
Fax: (612) 436-2600
Mailing address: 3424 Zenith Ave S, Minneapolis, MN 55416-4663

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 34425 (MN)

Other Preventive Medicine providers in Minnesota →

Registry record

NPI: 1083702823
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.