Individual
LOIS A KUBITSCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
225 SMITH AVE N STE 500, SAINT PAUL, MN 55102-2545
(651) 292-0007
(651) 241-2740
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R110940-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
667516600
—
MN
Enumeration date
10/02/2006
Last updated
03/11/2021
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