Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Legvold, PA-C

Individual provider Physician Assistant · NPI 1518357102

Lisa Legvold, PA-C is a Physician Assistant in Crystal, Minnesota. Qualified in 2014, 12 years ago. Practices with United Skin Specialists Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4725 36th Ave N
Crystal, MN 55422-2169
Phone: (218) 208-2058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11762 (MN)

Record details

NPI number1518357102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2015
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice United Skin Specialists Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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