Lisa Jolee Wimmer, | |
500 W Grant St, Lake City, MN 55041-1143 | |
(651) 345-3321 | |
Not Available |
Full Name | Lisa Jolee Wimmer |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 500 W Grant St, Lake City, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134715477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7870 (Minnesota) | Primary |
Entity Name | Mayo Clinic Health System-lake City |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Entity Name | Mayo Clinic Health System-lake City |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
Mailing Address | Practice Location Address |
---|---|
Lisa Jolee Wimmer, 31215 Levi Path, Lake City, MN 55041-3250 Ph: () - | Lisa Jolee Wimmer, 500 W Grant St, Lake City, MN 55041-1143 Ph: (651) 345-3321 |
Katherine Lillie Lofberg, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 Fax: 651-345-1151 | |
Deborah Jane Anderson, ANP,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 Fax: 651-345-1151 | |
Patricia Elena Servin-hughes, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Laura Anthony O'rourke, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 West Grant Street, Lake City, MN 55041 Phone: 651-345-3321 | |
Kayla Dale Dascher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 |