Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2016018764 | MO |
Y | 2080P0208X | Pediatric Infectious Diseases | 68992 | MN |
NPI | 1467892695 |
---|---|
Provider Name | Lisa M Hiskey |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2013 |
Last Update Date | 06/04/2021 |