Individual
LAUREN NOELLE KERSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15265 MINNETONKA BLVD, MINNETONKA, MN 55345-1510
(952) 223-2506
Mailing address
9346 OAK AVE, WACONIA, MN 55387-9422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
931429600
—
MN
Enumeration date
12/20/2019
Last updated
12/20/2019
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