Individual provider · Type 1 NPI

Lisa Genevra Mandeville Friedman, MD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1285013557 Active

Practice location

2512 S 7th St Ste R200
Minneapolis, MN 55454-1404

Call (612) 273-1177 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285013557

Lisa Genevra Mandeville Friedman, MD's National Provider Identifier is 1285013557, issued on May 20, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on May 20, 2015.