Most Relevant Information
Provider Data
| NPI Number: | 1003808023 |
| Provider Name: | LISA M HEBL PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 9526 |
Most Important Dates
| Enumeration Date: | 08/16/2005 |
| Last Updated: | 12/16/2020 |
Provider Practice Location
6351 E SUPERIOR ST
DULUTH
MN
558042545
Practice Location Phone/Fax
| Phone: | 2182494500 |
| Fax: | 2182494555 |
Provider Mailing Location
6351 E SUPERIOR ST
DULUTH
MN
558042545
Provider Mailing Phone/Fax
| Phone: | 2182494500 |
| Fax: | 2182494555 |