Individual
MRS. LAUREN LYNN DUCKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
(952) 993-8900
(952) 993-8955
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12538
MN
Other
Enumeration date
10/10/2017
Last updated
12/21/2023
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