Individual
MAGGIE LAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-6959
(952) 853-8831
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-6959
(952) 853-8831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8168
MN
363LA2200X
Adult Health Nurse Practitioner
8168
MN
Other
Enumeration date
05/05/2021
Last updated
01/13/2026
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