Individual
LANA R HINTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10544
MN
363AM0700X
Medical Physician Assistant
10544
MN
Other
Enumeration date
11/05/2008
Last updated
11/08/2022
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