Lisa C Larson (NPI# 1417945940, PAC ID# 8022275544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417945940 |
| PAC ID by PECOS | 8022275544 |
| Professional Enrollment ID | I20120210000097 |
| Full Name | Lisa C Larson |
| Organization Legal Name | ST FRANCIS REGIONAL MEDICAL CENTER |
| Address |
265 Creek Ln S Jordan MN 55352-1214 |
| Phone Number | 9524281200 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214821909 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241355 | GLENCOE REGIONAL HEALTH SERVICES |
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 265 Creek Ln S, Jordan, MN 55352-1214 | 9524281200 | ST FRANCIS REGIONAL MEDICAL CENTER |
| 8170 Old Carriage Ct, Suite 100, Shakopee, MN 55379-3164 | 9524283600 | ST FRANCIS REGIONAL MEDICAL CENTER |
| Organization Legal Name | ST FRANCIS REGIONAL MEDICAL CENTER |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika A Johnson | Nurse Practitioner | St Francis Regional Medical Center | 6150 Egan Dr, Savage, MN 55378-2699 |
| Angela Louise Reu | Physician Assistant | St Francis Regional Medical Center | 265 Creek Ln S, Jordan, MN 55352-1214 |
| Monte E Johnson | Family Medicine | St Francis Regional Medical Center | 8170 Old Carriage Ct, Suite 100, Shakopee, MN 55379-3164 |
| John H Zweber | Certified Registered Nurse Anesthetist (crna) | St Francis Regional Medical Center | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 |
| Jed W Adams | Certified Registered Nurse Anesthetist (crna) | St Francis Regional Medical Center | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 |
| Paul E Mittelstadt | Emergency Medicine | St Francis Regional Medical Center | 8170 Old Carriage Ct, Suite 100, Shakopee, MN 55379-3164 |
| Helen Jane Peterson | Nurse Practitioner | St Francis Regional Medical Center | 8170 Old Carriage Ct, Suite 100, Shakopee, MN 55379-3164 |
| Beth E Nelson | Certified Registered Nurse Anesthetist (crna) | St Francis Regional Medical Center | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 |
| Jennifer D White | Family Medicine | St Francis Regional Medical Center | 265 Creek Ln S, Jordan, MN 55352-1214 |
| Tanya M Iverson | Certified Registered Nurse Anesthetist (crna) | St Francis Regional Medical Center | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 |
| Street Address |
265 CREEK LN S |
| City | JORDAN |
| State | MN |
| Zip | 55352-1214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Louise Reu | Physician Assistant | St Francis Regional Medical Center | 265 Creek Ln S, Jordan, MN 55352-1214 |
| Jennifer D White | Family Medicine | St Francis Regional Medical Center | 265 Creek Ln S, Jordan, MN 55352-1214 |
| Melissa M Appel | Internal Medicine | St Francis Regional Medical Center | 265 Creek Ln S, Jordan, MN 55352-1214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Cook | Chiropractic | Chiropractic Specialists, Inc. | 108 Creek Lane S, Jordan, MN 55352-1202 |
| Michael T Douglass-white | Chiropractic | Chiropractic Specialists, Inc. | 108 Creek Lane S, Jordan, MN 55352-1202 |
| Kory L Isley | Chiropractic | Chiropractic Specialists, Inc. | 108 Creek Lane S, Jordan, MN 55352-1202 |
| Jeff C May | Chiropractic | 221 1st E St, Jordan, MN 55352-1503 | |
| Scott Charles Penney | Chiropractic | Penney Family Chiropractic LLC | 209 Water St, Jordan, MN 55352-1518 |
| Hollie M Penney | Chiropractic | Penney Family Chiropractic LLC | 209 Water St, Jordan, MN 55352-1518 |
| Vicki S Luehmann | Optometry | 223 E 1st St, Suite 101, Jordan, MN 55352-1563 | |
| Jacquelyn Lee Kerkow-dohmen | Clinical Social Worker | Cedar House Inc | 603 Hope Ave, Jordan, MN 55352-1860 |
| Alissa Marie Menke | Clinical Social Worker | Cedar House Inc | 603 Hope Ave, Jordan, MN 55352-1860 |
| City | JORDAN |
| Zip Code | 55352 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JORDAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lisa C Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.