Individual
LAURIE JEANNE BISILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 RIVERSIDE DR NE, SAINT CLOUD, MN 56304-0435
(320) 251-4357
Mailing address
8575 STATE HIGHWAY 55, KIMBALL, MN 55353-9667
(320) 333-0286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1321801
MN
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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