DR. LISA A RANDALL (NPI# 1003088816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003088816 |
| Entity Type | Individual |
| Full Name | DR. LISA A RANDALL |
| Credential | D.C. |
| Practice Address |
1050 County Road E W Shoreview MN 55126-8062 |
| Mailing Address |
23624 Saint Francis Blvd Nw Ste 1 Saint Francis MN 55070-5501 |
| Practice Telephone | 6514848448 |
| Practice Fax Number | 6514842066 |
| Mailing Telephone | 7637532631 |
| Mailing Fax Number | 7637532808 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5108 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104297431 | Lisa Randall | Audiologist-Hearing Aid Fitter | 1431 Coronet Dr, Reno, NV 89509-3506 | 2015-10-13 |
| 1285992164 | Lisa Marie Randall | Technician, Pathology | 970 County Route 56, Potsdam, NY 13676-3351 | 2012-04-27 |
| 1881729101 | Lisa Marie Randall | Counselor | 3877 Palmwood Dr, Concord, CA 94521-2647 | 2007-02-23 |
| 1558459685 | Lisa Lynn Randall | Dietitian, Registered | 501 N Riverpoint Blvd, Suite 245, Spokane, WA 99202-1659 | 2006-10-11 |
| 1104292390 | Lisa Randall | Counselor | 690 E Warner Rd Ste 115, Gilbert, AZ 85296-3056 | 2015-08-11 |
| 1114229945 | Lisa Marie Randall | Clinical Nurse Specialist | 351 Cypress Creek Rd, Suite 100, Cedar Park, TX 78613-4528 | 2010-11-30 |
| Street Address |
1050 COUNTY ROAD E W |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-8062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811177546 | Chiropractic Servics Ltd. | Chiropractor | 1050 County Road E W, Shoreview, MN 55126-8062 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488081 | Joseph Cassens | Chiropractor | 3570 Lexington Ave N Ste 208, Shoreview, MN 55126-8058 | 2020-05-07 |
| 1073086138 | Ashley Brauner | Chiropractor | 4535 Hodgson Rd Ste 200, Shoreview, MN 55126-1950 | 2019-01-10 |
| 1871979245 | Lifetree Chiropractic & Wellness, LLC | Chiropractor | 3550 Lexington Ave N Ste 210, Shoreview, MN 55126-8092 | 2015-08-07 |
| 1396085882 | Sourcepoint Chiropractic and Wellness Center, LLC | Chiropractor | 405 Ash St, Shoreview, MN 55126-1133 | 2013-02-21 |
| 1841543410 | Rachel Marie Theis | Chiropractor | 879 Monterey Dr, Shoreview, MN 55126-5871 | 2012-10-19 |
| 1164660924 | Ann Elisabeth Ivey | Chiropractor | 5910 Alameda St, Shoreview, MN 55126-4649 | 2009-01-30 |
| 1184808636 | Advanced Chiropractic & Wellness Clinic | Chiropractor | 3434 Lexington Ave N Ste 900, Shoreview, MN 55126-8090 | 2007-12-19 |
| 1811177546 | Chiropractic Servics Ltd. | Chiropractor | 1050 County Road E W, Shoreview, MN 55126-8062 | 2007-11-09 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| 1730201435 | Lori Darlene Lukovsky | Chiropractor | 1050 County Road E. West, Shoreview, MN 55126-8022 | 2007-04-04 |
| Find all providers in SHOREVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.