Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa Ide, MD

Individual provider Occupational Medicine Physician · NPI 1083702823

Dr. Lisa Ide, MD is an Occupational Medicine Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

717 E River Pkwy
Minneapolis, MN 55455-0369
Phone: (612) 436-4818
Fax: (612) 436-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 34425 (MN)

Record details

NPI number1083702823
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESMarch 7, 2023
Mailing address3424 Zenith Ave S, Minneapolis, MN 55416-4663

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