Individual
LAURIE JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR STE 200, EAGAN, MN 55121-7707
(651) 406-8860
(651) 688-7864
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38212
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022500
—
MN
Enumeration date
07/13/2006
Last updated
11/12/2019
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