Individual
KAYLA LORSUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R31803
ND
363LF0000X
Family Nurse Practitioner
Primary
R31803
ND
Other
Enumeration date
07/25/2019
Last updated
09/06/2024
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