| NPI | 1497940860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM LORENTZEN CEO 651-726-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN R-157185-5) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |