Individual provider · NPI-1

Lisa Jean Ahlberg, NP

Nurse Practitioner · Rochester, MN

NPI number1457627341
StatusActive
Last updated in NPPESAug 7, 2020

Details

NPI
1457627341
Entity type
Individual (NPI-1)
Name
Lisa Jean Ahlberg
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2012
Certification date
Aug 7, 2020
Last updated
Aug 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2342MNYes
363L00000X Nurse PractitionerR 177912-3MN

Other names

  • Lisa Jean Erdman (Former Name)

Practice location

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

Mailing address

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

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