LISA LYNN FROEMKE


Address: 3838 12th Ave N, Fargo, ND 58102-2931
Phone: 7012344700

LISA LYNN FROEMKE (NPI# 1861801763) 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) 1861801763
Entity Type Individual
Full Name LISA LYNN FROEMKE
Credential PA-C
Practice Address 3838 12th Ave N
Fargo
ND 58102-2931
Practice Telephone 7012344700
Mailing Telephone 7012344700
Enumeration Date 2014-08-05
Last Update Date 2014-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PAC0566 ND Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3838 12TH AVE N
City FARGO
State ND
Zip Code 58102-2931

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952336265 Suzanne R Sandsmark Physical Therapist 3838 12th Ave N, Fargo, ND 58102-2931 2006-07-12
1245633460 Karon Joyce Garrett Nurse Practitioner 3838 12th Ave N, Fargo, ND 58102 2014-10-01
1255749024 Bryce Nelson Occupational Therapist 3838 12th Ave N, Fargo, ND 58102-2931 2014-07-24
1619318847 Nichole Sherry Palmer-george Physical Therapist 3838 12th Ave N, Fargo, ND 58102-2931 2013-07-16
1336417484 Heather Rae Bennington Physical Therapist 3838 12th Ave N, Fargo, ND 58102-2931 2011-12-05
1669600185 Chantel Marie Frappier Physical Therapist 3838 12th Ave N, Fargo, ND 58102-2931 2009-06-23
1649300450 Katie Margaret Layfield Physical Therapist 3838 12th Ave N, Fargo, ND 58102-2931 2007-03-07
1982747713 Ann Margaret Burd Physical Therapist 3838 12th Ave N, Fargo, ND 58102-2931 2007-02-14
1952323974 Sanford Clinic North Clinic/Center 3838 12th Ave N, Fargo, ND 58102-2931 2006-07-25
1255353744 Jennifer L Dejong Nurse Practitioner 3838 12th Ave N, Fargo, ND 58102-2931 2006-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
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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
1205015633 Jamie M Brown Physician Assistant 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 2007-11-02
1790703353 Mary Jane Kadry Physician Assistant 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 2006-07-18
1861419723 Catherine M Garvey Physician Assistant 2801 University Dr S, Fargo, ND 58103-6029 2006-07-16
1881148005 Kali Luecke Physician Assistant 301 Np Ave N, Fargo, ND 58102-4835 2016-08-04
1215480009 Jason Byrne Smith Physician Assistant 801 Broadway N, Fargo, ND 58102-3641 2016-07-27
1659758381 Sarah Winter Physician Assistant 1702 University Dr S, Fargo, ND 58103-4940 2015-05-01
1033525365 Kathryn Gray Physician Assistant 301 Np Ave N, Fargo, ND 58102-4835 2014-07-08
1326462490 Shannon Lynn Gullingsrud Physician Assistant 3000 32nd Ave S, Fargo, ND 58103-6132 2014-02-10
1467722702 Yan Tesch Physician Assistant 2400 32nd Ave S, Fargo, ND 58103-5800 2012-01-04
1881980415 Jennifer L Fisher Physician Assistant 2400 32nd Ave S, Fargo, ND 58103-5800 2011-06-22
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Competitor

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City FARGO
Zip Code 58102

Improve Information

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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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