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1023409919
JOANNA LACKNER
ST LOUIS PARK, MN
NPI
1023409919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 104804)
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
-- JOANNA LACKNER OTR
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 952-993-5990
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Mailing Address
-- JOANNA LACKNER OTR
6825 HICKORY ST NE
FRIDLEY, MN 55432-4125
Phone number: 612-799-7064
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