Provider Demographics
NPI:1225105927
Name:POSEY, LISA A (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:POSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6525FRANCE AVENUE S
Mailing Address - Street 2:STE 325
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4538
Mailing Address - Country:US
Mailing Address - Phone:952-920-4595
Mailing Address - Fax:952-920-7958
Practice Address - Street 1:6525 FRANCE AVENUE S
Practice Address - Street 2:STE 25
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4538
Practice Address - Country:US
Practice Address - Phone:952-920-4595
Practice Address - Fax:952-920-7958
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN43553207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
045J6POOtherBCBS
1329612OtherARAZ AMERICAN PPO
43553OtherLICENSE #
XX1411029284OtherPREFERRED ONE
1000017OtherMEDICA PRIMARY
141270D669OtherUCARE
HP33699OtherHEALTH PARTNERS
1000293OtherMEDICA CHOICE
P00025576OtherRAILROAD MEDICARE
P00025576OtherRAILROAD MEDICARE
MN040000620Medicare ID - Type Unspecified