| Doctor Name: | LUCIA F PIERSON |
| NPI Number: | 1023168432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OPA |
| License Number: | 278 |
| Business Practice Address: | 6465 Wayzata Blvd Ste 315 St Louis Park, MN - 554261728 |
| Business Phone Number: | 9529937169 |
| Business Fax Number: | 9529930300 |
| Mailing Address: | 6465 Wayzata Blvd, Ste 315 ST LOUIS PARK |
| State: | MN |
| Postal Code: | 554261728 |
| Phone Number: | 9529937169 |
| Fax Number: | 9529930300 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |