DR. LISA GENEVRA MANDEVILLE FRIEDMAN MD
NPI 1285013557
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Dr. Lisa Genevra Mandeville Friedman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA GENEVRA MANDEVILLE FRIEDMAN MD (NPI 1285013557) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lisa Genevra Mandeville Friedman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Friedman's NPI number?
The NPI number for Lisa Friedman is 1285013557. It was assigned to this individual provider in the NPPES registry on May 20, 2015.
Where is Lisa Friedman located?
Lisa Friedman practices at 2512 S 7th St Ste R200, Minneapolis, MN 55454. The listed phone number is (612) 273-1177.
What is Lisa Friedman's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Lisa Friedman enrolled in Medicare?
Yes. Lisa Friedman is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Friedman was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Lisa Genevra Mandeville Friedman, MD · NPI 1285013557
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 20, 2015.
## Identity
- **NPI:** 1285013557 (Entity type: Individual)
- **Enumerated:** May 20, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2512 S 7TH ST STE R200, Minneapolis, MN 55454-1404
- **Phone:** (612) 273-1177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 20, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1285013557) · Data from the CMS NPPES public registry.