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Contact Information

LISA A AGRE, LADC
328 3RD ST SW
WILLMAR, MN56201-3475
 Phone: 320-231-9763
 Fax: 320-235-0334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LISA A AGRE · (Female)

NPI # 1962127670
Status Active
Credentials LADC
Entity Individual
Enumeration date 10/05/2022
Last updated 10/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 306344
Hospital affiliation(s) Not Available
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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