Individual
DR. LAURAL MOKONCHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
12826 GLEN CT, APPLE VALLEY, MN 55124-9490
(612) 990-7558
Mailing address
12826 GLEN CT, APPLE VALLEY, MN 55124-9490
(612) 990-7558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9655
MN
363LP2300X
Primary Care Nurse Practitioner
9655
MN
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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