Individual provider · Type 1 NPI
Lisa Marie Nordquist, DVM
Veterinarian · Duluth, MN
NPI number
1629401708
Active
Practice location
5503 Grand Ave
Duluth, MN 55807-2537
Fax (218) 628-1448
Mailing address
5502 Grand Ave
Duluth, MN 55807-2538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Veterinarian Primary | 174M00000X | 09108 (MN) |
Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
About NPI 1629401708
Lisa Marie Nordquist, DVM's National Provider Identifier is 1629401708, issued on Aug 13, 2013. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Duluth, MN. The record was last updated on Aug 13, 2013.