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Contact Information

LISSA N CHIPECO, MD
2500 COMO AVE
SAINT PAUL, MN55108-1460
 Phone: 651-641-6200
 Fax: 651-641-6295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LISSA N CHIPECO · (Female)

NPI # 1265529663
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2006
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 43877
  • MN Medicaid 028720200
Hospital affiliation(s)
  • REGIONS HOSPITAL - (Acute Care)
    640 JACKSON STREET
    SAINT PAUL, MN 55101
  • ST JOSEPH'S HOSPITAL - (Acute Care)
    45 WEST 10TH STREET
    SAINT PAUL, MN 55102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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