# LORI CARLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114988318
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 094598-7 | MN | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12-03427 | MEDICA | MN |
| 05 | — | 251343900 | — | MN |
| 01 | — | 923911015067 | PREFERRED ONE | MN |
| 01 | — | 9L584CA | BCBS | MN |
| 01 | — | HP19846 | HEALTH PARTNERS | MN |