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Individual

DR. JOSHUA ERNEST LACKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2120 FORD PKWY, SAINT PAUL, MN 55116-1863
(651) 241-9600
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
107265
MN
207R00000X
Internal Medicine Physician
Primary
57429
MN

Other

Enumeration date
08/18/2011
Last updated
12/20/2022
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