LISA R DAVIDSON MD NPI 1184603193

NPI Information

  • NPI: 1184603193
  • Provider Name: LISA R DAVIDSON, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1230 E MAIN STREET
    MANKATO CLINIC AT MAIN STREET
    MANKATO, MN
    ZIP 56002
  • Phone: (507) 625-1811

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NPI Details

Lisa R Davidson, MD is a neurology psychiatry neurology in Mankato, MN with 33 years of experience. The provider is a Neurologist 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. Lisa R Davidson, MD NPI is 1184603193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:1993

The provider's business location address is:

1230 E MAIN STREET
MANKATO CLINIC AT MAIN STREET
MANKATO, MN
ZIP 56002-674
Phone: (507) 625-1811

The NPI 1184603193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle (HCPCS:95874)
  • Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face (HCPCS:64615)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box (HCPCS:64616)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Nerve conduction, 9-10 studies (HCPCS:95911)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Nerve conduction, 5-6 studies (HCPCS:95909)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Sleep study in sleep lab (6 years or older) (HCPCS:95810)
  • Nerve conduction, 13 or more studies (HCPCS:95913)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 1/10/2006 and was last updated on 7/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology43496MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1130024186OTHERRR MEDICARE
20947127OTHERIOWAMEDICAID
3HP32997OTHERMINNESOTAHEALTH PARTNERS
41328361OTHERMINNESOTAAMERICAS PPO
545D61DAOTHERMINNESOTABCBS
6NA2951027572OTHERMINNESOTAPREFERRED ONE
7071645600MEDICAIDMINNESOTA
80500173OTHERMINNESOTAMEDICA
9151694OTHERMINNESOTAUCARE
10410849339 56001 C181OTHERCHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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