Individual
LUBASI KAMUTI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN
Contact information
Practice address
726 2ND ST NE, MINNEAPOLIS, MN 55413-1662
(763) 230-0737
(651) 229-5399
Mailing address
726 2ND ST NE, MINNEAPOLIS, MN 55413-1662
(612) 230-0737
(651) 229-5399
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
2471610
MN
Other
Enumeration date
04/25/2019
Last updated
06/11/2019
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