National Provider Identifier Database

LISA R BRAUN, PA-C – NPI #1720075666
Medical


Contact Information

LISA R BRAUN, PA-C
332 2ND AVE N
WAHPETON, ND58075-4528
Phone: 701-642-7000
Fax:
Website:
Specialty Taxonomy Code
* Medical 363AM0700X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for LISA R BRAUN

NPI Number 1720075666
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/05/2005
Last updated 04/02/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 9723
  • ND License #: PAC0387
  • SD License #: 0493
  • SD Medicaid: 6824570
Hospital affiliation n/a

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.

Reviews for LISA R BRAUN, PA-C

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