DR. LISA IDE MD
NPI 1083702823
Preventive Medicine - Occupational Medicine in Minneapolis, MN

Q: What is Lisa Ide's NPI number?

The NPI number for Lisa Ide is 1083702823. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Lisa Ide's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Ide was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2006

717 E RIVER PKWY, MINNEAPOLIS, MN 55455(612) 436-4818(612) 436-2600 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lisa Ide Md NPPES

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

DR. LISA IDE MD (NPI 1083702823) is an individual occupational medicine provider in Minneapolis, Minnesota, licensed in Minnesota (34425) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083702823

Entity TypeIndividualFemale

Primary Taxonomy2083X0100X

Provider Legal NameDR. LISA IDECredential: MD

Location Address717 E RIVER PKWYMinneapolis, MN 55455-0369

Mailing Address3424 Zenith Ave SMinneapolis, MN 55416-4663 · (612) 374-3795 · Fax (612) 436-2600

Phone(612) 436-4818

Fax(612) 436-2600

Sole ProprietorNo

Enumeration DateOctober 10, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1083702823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in MN · 34425

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

717 E RIVER PKWY, Minneapolis, MN 55455

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Other Identifiers 1

Other34452MN · Medical License

Other Providers at the Same Location NPPES 8

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

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