Individual
LORI J MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
30871 105TH ST, PRINCETON, MN 55371-4550
(763) 389-2271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0639
SD
363AS0400X
Surgical Physician Assistant
Primary
10587
MN
Other
Enumeration date
03/26/2007
Last updated
04/02/2010
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