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LISA R MATTSON M.D.
NPI 1053394825
Obstetrics & Gynecology in Fridley, MN

Active since November 25, 2005
500 OSBORNE RD NE, SUITE 255, FRIDLEY, MN 55432(763) 236-2500(763) 236-2505 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa R Mattson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA R MATTSON M.D. (NPI 1053394825) is an individual obstetrics & gynecology provider in Fridley, Minnesota, licensed in Minnesota (38249) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1053394825
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA R MATTSONCredential: M.D.
Location Address500 OSBORNE RD NE, SUITE 255Fridley, MN 55432-2765
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(763) 236-2500
Fax(763) 236-2505
Sole ProprietorNo
Enumeration DateNovember 25, 2005
Last NPPES UpdateDecember 22, 2011
✔ NPI 1053394825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 38249
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

500 OSBORNE RD NE, Fridley, MN 55432
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Other Identifiers 3

Medicaid676019800MN
Medicare PIN160003390MN
Medicare UPING18955MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS J DIEM D.D.S., M.D.
Specialist
500 OSBORNE RD NE, UNITY PROFESSIONAL BLDG SUITE 350
FRIDLEY, MN 55432
Anoka County (763) 780-8927
JENNIFER MAE SULLIVAN WHNP
Nurse Practitioner (Women's Health)
500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 786-6011
JILL MARRONE MS, RD, LD
Dietitian, Registered
500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 236-2045
ANGELA BENNETT
Pediatrics
500 OSBORNE RD NE, SUITE 215
FRIDLEY, MN 55432
Anoka County (763) 236-2707
MARY ZYGMUNT DO
Obstetrics & Gynecology (Gynecology)
500 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 786-6011
HOO YIN WONG M.D.
Urology
500 OSBORNE RD NE, SUITE 120
FRIDLEY, MN 55432
Anoka County (763) 783-8582
REBECCA LYNN SCHECK RD
Dietitian, Registered
500 OSBORNE RD NE, SUITE 200
FRIDLEY, MN 55432
Anoka County (763) 236-2028
JAGDEEP KOHLI MD
Psychiatry & Neurology (Neurology)
500 OSBORNE RD NE, STE 365
FRIDLEY, MN 55432
Anoka County (612) 879-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mattson's NPI number?

The NPI number for Lisa Mattson is 1053394825. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Lisa Mattson located?

Lisa Mattson practices at 500 Osborne Rd NE Suite 255, Fridley, MN 55432. The listed phone number is (763) 236-2500.

What is Lisa Mattson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Lisa Mattson was last updated on December 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.