Whalio Doctors

NPI 1760368385

Lisa Fortman

Practitioner Community Health Worker Eagan, MN

Practice location

Address
1440 Duckwood Dr STE 500, Eagan, MN 55122-1399
Phone
(952) 955-9399

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1760368385
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Aug 2025
Record last updated
12 Aug 2025

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.