Individual provider · Type 1 NPI

Mackenzie Lee Carlson, PA

Physician Assistant · Edina, MN

NPI number 1568038875 Active

Practice location

6565 France Ave S Ste 200
Edina, MN 55435-2141

Call (952) 920-2200 Map

Fax (952) 920-0866

Mailing address

4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13706 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1568038875

Mackenzie Lee Carlson, PA's National Provider Identifier is 1568038875, issued on May 28, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Edina, MN. The record was last updated on Nov 3, 2025.