Individual
LYNN M ELLINGHUYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13303
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221928000
—
MN
05
—
ENROLLED
—
MN
Enumeration date
02/13/2006
Last updated
05/20/2010
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