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1114988318
LORI CARLSON
MINNEAPOLIS, MN
NPI
1114988318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN 094598-7)
Enumeration Date
2006-03-29
Last Update Date
2007-07-08
Business Address
-- LORI CARLSON
250 S 4TH ST DHFS, ROOM 510
MINNEAPOLIS, MN 55415-1335
Phone number: 612-673-3548
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Mailing Address
-- LORI CARLSON
17810 24TH AVE N
PLYMOUTH, MN 55447-2108
Phone number:
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