# TWO RIVERS LUNG SPECIALISTS, P. A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902839947
- **Authorized official:** DR. JEANNE M NELSON M. D. (PRESIDENT/OWNER)
- **Authorized official phone:** (763) 236-9494

## Contact information

- **Practice address:** 4040 COON RAPIDS BLVD NW, SUITE \#100, COON RAPIDS, MN 55433-2522
- **Practice address phone:** (763) 236-9494
- **Practice address fax:** (763) 236-9495
- **Mailing address:** 4040 COON RAPIDS BLVD NW, SUITE \#100, COON RAPIDS, MN 55433-2522
- **Mailing address phone:** (763) 236-9494
- **Mailing address fax:** (763) 236-9495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 1564 | MN | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 01/26/2010