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Lori Carlson
Pediatric Nurse Practitioner in Minneapolis, Minnesota
NPI 1114988318

Lori Carlson is a Pediatric Nurse Practitioner based in Plymouth, MN and is specialized in Pediatrics. Lori Carlson practices in Minneapolis, MN. The NPI Number for Lori Carlson is 1114988318 and holds a License No. 094598-7 (Minnesota).

The current practice location address for Lori Carlson is 250 S 4Th St, Minneapolis, MN and can be reached out via phone at 612-673-3548 and via fax at 612-673-3866.

Location: 250 S 4Th St, Minneapolis, MN, 55447-2108
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Provider Profile Details
NPI Number
1114988318
Provider Name
Lori Carlson
Credential
Provider Entity Type
Individual
Gender
Female
Address
250 S 4Th St, Minneapolis, MN, 55447-2108
Phone Number
612-673-3548
Fax Number
612-673-3866
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12-03427 01 MN MEDICA
251343900 05 MN
9L584CA 01 MN BCBS
HP19846 01 MN HEALTH PARTNERS
923911015067 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
250 S 4Th St
City
State
Zip
55415-1335
Phone Number
612-673-3548
Fax Number
612-673-3866
person
Provider Business Mailing Address Details
Address
250 S 4Th St
City
State
Zip
55415-1335
Phone Number
612-673-3548
Fax Number
612-673-3866
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
094598-7 (Minnesota)
Definition
Definition to come...
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