Provider Demographics
NPI:1407088065
Name:TURBES, LISA LYNN (RN)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:LYNN
Last Name:TURBES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S 5TH ST
Mailing Address - Street 2:SUITE 119H
Mailing Address - City:OLIVIA
Mailing Address - State:MN
Mailing Address - Zip Code:56277-1374
Mailing Address - Country:US
Mailing Address - Phone:320-579-0050
Mailing Address - Fax:320-523-3749
Practice Address - Street 1:105 S 5TH ST
Practice Address - Street 2:SUITE 119H
Practice Address - City:OLIVIA
Practice Address - State:MN
Practice Address - Zip Code:56277-1374
Practice Address - Country:US
Practice Address - Phone:320-579-0050
Practice Address - Fax:320-523-3749
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR161000-4163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNR161000-4OtherRN LICENSE