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Individual

KIMBERLY JEAN LAKHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9313
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42983200
WI
05
990887100
MN
Enumeration date
07/04/2006
Last updated
05/02/2011
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