Dr Lisa Ide, MD - Preventive Medicine in Minneapolis, MN

Dr Lisa Ide, MD is a Preventive Medicine - Occupational Medicine physician based in Minneapolis, Minnesota. Dr Lisa Ide is licensed to practice in Minnesota (license number 34425) and her current practice location is 717 E River Pkwy, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 436-4818.

NPI number for Dr Lisa Ide is 1083702823 and her current mailing address is 3424 Zenith Ave S, Minneapolis, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083702823.

Contact Information

Dr Lisa Ide, MD
717 E River Pkwy,
Minneapolis, MN 55455-0369
(612) 436-4818
(612) 436-2600



Physician's Profile

Full NameDr Lisa Ide
GenderFemale
SpecialityPreventive Medicine - Occupational Medicine
Location717 E River Pkwy, Minneapolis, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083702823
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Lisa Ide such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083702823NPI-NPPES
34452OtherMNMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 34425 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Ide is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lisa Ide, MD
3424 Zenith Ave S,
Minneapolis, MN 55416-4663

Ph: (612) 374-3795
Dr Lisa Ide, MD
717 E River Pkwy,
Minneapolis, MN 55455-0369

Ph: (612) 436-4818

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› Verified 3 days ago


Preventive Medicine Doctors in Minneapolis, MN

Catherine A Demoss, D.O., MPH
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 2220 Riverside Ave, Healthpartners Riverside Urgent Care Clinic, Minneapolis, MN 55454
Phone: 952-853-8800    Fax: 612-371-1732
Dr. Aaron Folsom,
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 S. 2nd Street, Suite 300, University Of Minnesota Division Of Epidemiology, Minneapolis, MN 55454
Phone: 612-626-8862    
Dr. Sherief A Mikhail, M.D.,M.P.H.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439
Phone: 952-283-3162    
Ms. Cheryl Ann Lucius, COTA
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 601 25th Ave S, 601 25th Ave So., Minneapolis, MN 55454
Phone: 651-690-7772    
James Lynn Craig, MD MPH
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10008 S Shore Drive, Minneapolis, MN 55441
Phone: 763-546-1372    Fax: 763-546-6171
David Zanick,
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7550 34th Ave S, Minneapolis, MN 55450
Phone: 952-993-9700    

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