| NPI | 1427551746 |
|---|---|
| Doing Business As | LIFESPRK HEALTH |
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANN LAURING CEO 952-345-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 2385) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2022-05-02 |