LISA R BRAUN, PA-C, Medical WAHPETON, ND

Contact Information

LISA R BRAUN, PA-C

332 2ND AVE N
WAHPETON, ND 58075-4528

Phone: 701-642-7000
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Medical	363AM0700X	97	Physician Assistant
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for LISA R BRAUN · (Female)

NPI Number	`1720075666`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	10/05/2005
Last updated	04/02/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	MN License # 9723 ND License # PAC0387 SD License # 0493 SD Medicaid 6824570
Hospital affiliation(s)	SANFORD MEDICAL CENTER FARGO - (Acute Care) 801 BROADWAY NORTH FARGO, ND 58122 ST FRANCIS HEALTHCARE CAMPUS - (Critical Access) 2400 ST FRANCIS DRIVE BRECKENRIDGE, MN 56520

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

Contact Information

Specialty

Medical

Physician Assistant

NPI Profile & details for LISA R BRAUN · (Female)

Reviews for LISA R BRAUN

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