Individual
LORNA LEE RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
5775 WAYZATA BLVD STE 200, MINNEAPOLIS, MN 55416-1227
(952) 525-4511
(952) 525-1560
Mailing address
5775 WAYZATA BLVD STE 200, MINNEAPOLIS, MN 55416-1227
(952) 525-4511
(952) 525-1560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 153391-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10088
—
ND
01
—
11046424
PREFERRED ONE
—
01
—
2418100
AMERICAS PPO
—
01
—
41-1677590
WEA TRUST
—
01
—
733T5UR
BLUE CROSS BLUE SHIELD
—
05
—
856463900
—
MN
01
—
HP58497
HEALTHPARTNERS
—
Enumeration date
07/31/2006
Last updated
07/08/2007
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