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Individual

LILIAN OMODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-7422
Mailing address
720 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-2924

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8543
MN

Other

Enumeration date
09/25/2021
Last updated
12/16/2021
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