Provider Demographics
NPI:1790051894
Name:LYNCH JONES, LISA CHAUSSIER (RN, FNP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:CHAUSSIER
Last Name:LYNCH JONES
Suffix:
Gender:F
Credentials:RN, FNP
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Other - First Name:
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Mailing Address - Street 1:3850 PARK NICOLLET BLVD
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2527
Mailing Address - Country:US
Mailing Address - Phone:952-993-3131
Mailing Address - Fax:952-993-3349
Practice Address - Street 1:3850 PARK NICOLLET BLVD
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2527
Practice Address - Country:US
Practice Address - Phone:952-993-3131
Practice Address - Fax:952-993-3349
Is Sole Proprietor?:No
Enumeration Date:2012-03-22
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR138911-5163W00000X, 363LF0000X
MNCNP1716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse