IndividualActive
Lisa Ide, MD
NPI 1083702823 · Occupational Medicine Physician · Minneapolis, MN
Provider details
- NPI number
- 1083702823
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 34425 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
717 E River Pkwy
Minneapolis, MN 55455-0369
Phone: (612) 436-4818
Fax: (612) 436-2600
Approximate (ZIP-level) locationGet directions
Mailing address
3424 Zenith Ave S
Minneapolis, MN 55416-4663
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.