Lisa R Davidson
MD | Neurology | 32+ years Exp
1230 E Main Street, Mankato Clinic At Main Street, Mankato
Minnesota, 56002-8674
507-625-1811 Maps & DirectionsLisa R Davidson is a Mankato, Minnesota based neurologist with 32 years of experience in Neurology. She completed her graduation from Sanford School Of Medicine Of University Of South Dakota in 1993. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa R Davidson is 43496 for Neurology in Minnesota. Her current practice location is 1230 E Main Street, Mankato Clinic At Main Street, Mankato. Patients can reach her at 507-625-1811. Lisa R Davidson is MD in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1184603193.
Lisa R Davidson specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Lisa R Davidson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa R Davidson |
| Specialization: | Neurology |
| Gender: | Female |
| Credentials: | MD |
| Experience: | 32+ years |
| Medical School Attended: | Sanford School Of Medicine Of University Of South Dakota |
| Graduation Year: | 1993 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1230 E Main Street, Mankato Clinic At Main Street, Mankato,
Minnesota, 56002-8674 |
| Phone: | 507-625-1811 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4587615430 |
| Enrollment ID: | I20050208000648 |
| NPI Number: | 1184603193 |
| NPI Enumeration Date: | 10 Jan, 2006 |
| NPI Last Update On: | 10 Jul, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa R Davidson are as mentioned below.
| License Number | Specialization | State | Status | |
| 43496 | Neurology | Minnesota | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Lisa R Davidson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mankato Clinic Ltd (5597677955) | 187 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa R Davidson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1328361 | Other | Minnesota | AMERICAS PPO |
| 410849339 56001 C181 | Other | | CHAMPUS |
| 0500173 | Other | Minnesota | MEDICA |
| 151694 | Other | Minnesota | UCARE |
| 071645600 | Medicaid | Minnesota | |
| 0947127 | Other | Iowa | MEDICAID |
| 45D61DA | Other | Minnesota | BCBS |
| 130024186 | Other | | RR MEDICARE |
| HP32997 | Other | Minnesota | HEALTH PARTNERS |
| NA2951027572 | Other | Minnesota | PREFERRED ONE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa R Davidson
Po Box 8674, 1230 E Main St Mankato Clinic Ltd
Mankato, Minnesota |
| Zip: | 56002-8674 |
| Phone Number: | 507-625-1811 |
Patients can reach Lisa R Davidson at
1230 E Main Street, Mankato Clinic At Main Street, Mankato, Minnesota or can
call to book an appointment on 507-625-1811.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.