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Individual

LINDSAY HALVORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
808 WASHINGTON AVE, THRIFTY WHITE PHARMACY, DETROIT LAKES, MN 56501
(218) 847-9248
Mailing address
2383 SAINT CLAIR CIR, DETROIT LAKES, MN 56501-8022

Taxonomy

Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
Primary
2048316
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2048316
THRIFTY WHITE PHARMACY
MN
Enumeration date
10/09/2018
Last updated
10/09/2018
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