LISA T LEY


Address: 3400 W 66th St, Ste 385, Edina, MN 55435-2197
Phone: 9529202761

LISA T LEY (NPI# 1821094392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821094392
Entity Type Individual
Full Name LISA T LEY
Credential PA-C
Practice Address 3400 W 66th St
Ste 385
Edina
MN 55435-2197
Practice Telephone 9529202761
Mailing Telephone 9529202761
Enumeration Date 2005-06-21
Last Update Date 2010-06-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
9570 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 135142700 05
MN BCBS MINNESOTA 010D3KR 01

Office Location

Street Address 3400 W 66TH ST
STE 385
City EDINA
State MN
Zip Code 55435-2197

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033689674 Nicholas Roffers Speech-Language Pathologist 3400 W 66th St, Edina, MN 55435-2111 2018-11-27
1003351156 Lindsay Kuphal Nurse Practitioner 3400 W 66th St, Edina, MN 55435-2111 2016-12-28
1326410580 Jody Bishop Hearing Instrument Specialist 3400 W 66th St, Ste 140, Edina, MN 55435-2109 2015-10-28
1730555889 Danielle Bandholz Nurse Practitioner 3400 W 66th St, Suite 290, Edina, MN 55435-2111 2015-08-12
1780067033 Katherine Marie Breezley Registered Nurse 3400 W 66th St, Edina, MN 55435-2111 2015-07-06
1861885881 Connect Hearing, Inc. Audiologist 3400 W 66th St, Ste 140, Edina, MN 55435-2111 2015-03-16
1124419825 Lauren Christine Bloomgren Hearing Instrument Specialist 3400 W 66th St, Suite 140, Edina, MN 55435-2111 2015-02-17
1346657160 Fairview Health Services Family Medicine 3400 W 66th St, Suite 290, Edina, MN 55435-2111 2014-07-14
1821437955 Sarah Watkins Lee Registered Nurse 3400 W 66th St, 290, Edina, MN 55435-2111 2013-06-21
1962756213 Carol Fillmore Nurse Practitioner 3400 W 66th St, Edina, MN 55435-2111 2012-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
1982107876 Julia Seliber Dental Hygienist 7600 France Ave.s. Suite 1100, Edina, MN 55435 2018-03-16
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1730605528 Edina Medical Supplies Durable Medical Equipment & Medical Supplies 7455 France Ave., #614 S, Edina, MN 55435 2017-08-14
1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
1306206321 Barb Ryan Mechanotherapist 7550 France Avenue S, #220, Edina, MN 55435 2016-03-03
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821423781 Sarah L Davis Physician Assistant 6405 France Ave S Ste 200, Edina, MN 55435 2013-09-11
1811239049 Britney Dael Foster Busse Physician Assistant 3916 W 50th St, Edina, MN 55424-1202 2013-03-26
1073573630 Alan Richard Harrison Jr. Physician Assistant 7373 France Ave S., Suite 300, Edina, MN 55435-4538 2006-03-27
1326681800 Elizabeth Wallis Physician Assistant 7400 France Ave S Ste 100, Edina, MN 55435-4738 2019-10-28
1841759438 Emma Cyr Physician Assistant 6565 France Ave S Ste 375, Edina, MN 55435-2141 2019-03-14
1023581337 Hannah Margaret Brooks Physician Assistant 6565 France Ave S Ste 375, Edina, MN 55435-2141 2019-01-09
1598267676 Tucker Boone Johnson Physician Assistant 6525 France Ave S Ste 200, Edina, MN 55435-2176 2018-03-05
1134637986 Kristy Jordan Lichtenberg Physician Assistant 6565 France Ave S Ste 375, Edina, MN 55435-2141 2018-01-15
1902288905 Katie Grausam Physician Assistant 6401 France Ave S, Edina, MN 55435-2104 2015-06-25
1104208768 Kaylee Lynn Gibney Physician Assistant 6401 France Ave S, Edina, MN 55435-2104 2015-06-19
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Competitor

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City EDINA
Zip Code 55435

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Dataset Information

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.

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