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Individual

MS. LAURA J. HERRMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
3869 FOX TRL, ST BONIFACIUS, MN 55375-1214
(952) 210-8600
(972) 400-8223

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R093100-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R93100-1
MN

Other

Enumeration date
06/08/2006
Last updated
02/22/2012
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