Dr. Lisa R. Irvin
M.D. | Pediatrics | Female
Dr. Lisa R. Irvin, M.D. is a St Louis Park, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Lisa R. Irvin is
3910 Excelsior Blvd, St Louis Park, Minnesota - 55416-4709. She can be contacted on phone at
952-562-8787 and fax number 952-562-8788.
Dr. Lisa R. Irvin is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lisa R. Irvin is
1124095575 which was assigned by NPPES on 03 Mar, 2006 and it was last updated on 22 Sep, 2011.
Dr. Lisa R. Irvin license number is
41186 for Pediatrics (208000000X) in Minnesota.
Dr. Lisa R. Irvin is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Lisa R. Irvin basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Lisa R. Irvin |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Lisa R. Irvin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3910 Excelsior Blvd
St Louis Park, MN, 55416-4709
United States |
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| Phone Number : | 952-562-8787 |
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| Fax Number : | 952-562-8788 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124095575 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Mar, 2006 |
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| Last Updated On : | 22 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa R. Irvin are as mentioned. Primary taxonomy code for Dr. Lisa R. Irvin, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 41186 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lisa R. Irvin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 294718800 | MEDICAID | MN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3910 Excelsior Blvd
St Louis Park, MN, 55416-4709
United States |
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| Phone Number : | 952-562-8787 |
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| Fax Number : | 952-562-8788 |
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Business Location:
Patients can refer following map for directions to
Dr. Lisa R. Irvin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.