Individual
TARA LAHAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2833 LYNDALE AVE S, 135, MINNEAPOLIS, MN 55408-2153
(612) 990-0502
Mailing address
2833 LYNDALE AVE S, 135, MINNEAPOLIS, MN 55408-2153
(612) 990-0502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 193089-4
MN
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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