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Lora Lee E Koepp, PNP
Pediatric Nurse Practitioner in Minneapolis, Minnesota
NPI 1063452217

Lora Lee E Koepp is a Pediatric Nurse Practitioner based in Minneapolis, MN and is specialized in Pediatrics. Lora Lee E Koepp practices in Minneapolis, MN and has the professional credentials of PNP. The NPI Number for Lora Lee E Koepp is 1063452217 and holds a License No. 20000365 (Minnesota).

The current practice location address for Lora Lee E Koepp is 5 W Lake St, Minneapolis, MN and can be reached out via phone at 612-545-9000 and via fax at 612-545-9049.

Location: 5 W Lake St, Minneapolis, MN, 55415-1623
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Provider Profile Details
NPI Number
1063452217
Provider Name
Lora Lee E Koepp
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
5 W Lake St, Minneapolis, MN, 55415-1623
Phone Number
612-545-9000
Fax Number
612-545-9049
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12-01355 01 MN MEDICA
40D83KO 01 MN BLUE CROSS BLUE SHIELD
887019500 05 MN
institution
Provider Business Practice Location Address Details
Address
5 W Lake St
City
State
Zip
55408-3117
Phone Number
612-545-9000
Fax Number
612-545-9049
person
Provider Business Mailing Address Details
Address
5 W Lake St
City
State
Zip
55408-3117
Phone Number
612-545-9000
Fax Number
612-545-9049
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
20000365 (Minnesota)
Definition
Definition to come...
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