Individual
MAI E LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 625-4440
(612) 626-3119
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(612) 884-0649
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
156FX1900X
Orthoptist
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
03/17/2018
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