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

Lisa Xiong

Individual provider Physician Assistant · NPI 1679141667

Lisa Xiong is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

5939 Portland Ave
Minneapolis, MN 55417-3127
Phone: (612) 869-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13637 (MN)

Record details

NPI number1679141667
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing address5939 Portland Ave, Minneapolis, MN 55417-3127

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